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Spinal Cord Compression as a First Presentation of Polystotic Brown Tumor: A Case Report and Review of Imaging Features
Submission Type:Case Study
Authors
1 Department of Radiology, Dammam Medical Complex, Dammam, Saudi Arabia
Abstract
Despite the fact that brown tumor is the hallmark of hyperparathyroidism, it is very rarely observed at present due to early laboratory detection of elevated parathyroid hormone level. The unusual occurrence of this entity in everyday practice is a concern not only for patients, but also for physicians, as it can be mistaken for other lytic bone lesions. If the full continuum of clinical, laboratory and radiological findings is considered, a diagnosis can easily be made. Herein, we report a case of polystotic brown tumor presenting with thoracic cord compression secondary to vertebral pathological fracture.
Main Subjects
Training
Radiological Education
Quality Assurance
+4Keywords
Chronic kidney disease
Brown tumor
Hyperparathyroidism
Spinal cordcompression
References
- 1.Hoshi M, Takami M, Kajikawa M, Teramura K, Okamoto T, Yanagida I et al. A case of multiple skeletal lesions of brown tumors mimicking carcinoma metastases. ArchOrthop Trauma Surg. 2008;128(2):149–154.
- 2.Xie C, Tsakok M, Taylor N, Partington K. Imaging of brown tumours: a pictorial review. Insights into Imaging. 2019;10(1):1–9.
- 3.Gould C, Ly J, Lattin G, Beall D, Sutcliffe J. Bone Tumor Mimics: Avoiding Misdiag- nosis. Curr Probl Diagn Radiol. 2007;36(3):124–141.
- 4.Murphy P. Robbins Review of Pathology. Clin Chem. 2000;311(9):1746–1747.
- 5.Knowles N, Smith D, Outwater E. MRI diagnosis of brown tumor based on magnetic susceptibility. J Magn Reson Imaging. 2008;28(3):759–761.
- 6.Fineman I, Johnson J, Di-Patre P, Sandhu H. Chronic renal failure causing brown tumors and myelopathy. J Neurosurg Spine. 1999;90(2):242–246.
- 7.Guney E, Yigitbasi O, Bayram F, Ozer V, Canoz Ö. Brown tumor of the maxilla asso- ciated with primary hyperparathyroidism. Auris Nasus Larynx;28(4):369–372.
- 8.Takeshita T, Takeshita K, Abe S, Takami H, Imamura T, Furui S. Brown tumor with fluid-fluid levels in a patient with primary hyperparathyroidism: radiological findings. Radiation Medicine. 2006;24(9):631–634.