Torticollis due to aneurysmal bone cyst located in the thoracic vertebrae: A case report
Keywords:Aneurysmal Bone Cyst, torticollis, acute paraplegia, children
Aneurysmal bone cyst is a benign, tumor-like, highly vascular, locally aggressive and relatively rare osteolytic lesion of unknown etiology. Aneurysmal bone cysts of the spine account for 12%–30% of all aneurysmal bone cyst cases. They mostly occur in the lumbar vertebrae, followed by the thoracic, cervical, and sacral vertebrae. Torticollis, a condition characterized by an abnormal tilted position, rotation, and flexion of the head and neck is considered a sign rather than a specific diagnosis. To our knowledge, the presentation of torticollis in children with aneurysmal bone cysts in the thoracic vertebrae has not been reported in the literature. We should keep in mind that acquired torticollis can be a sign of underlying life-threatening conditions. Here we present the case of a 9-year-old boy with muscle spasm, progressively increasing pain, and right torticollis (lasting for 45 days) who presented to the emergency department with paraplegia.
Jaffe HL, Lichtenstein L. Solitary unicameral bone cyst. Arch Surg. 1942;44:1004–25.
Leithner A, Windhager R, Lang S, Haas OA, Kainberger F, Kotz R. Aneurysmal bone cyst. A population based epidemiologic study and literature review. Clin Orthop Relat Res. 1999;363:176–9.
Boriani S, De Iure F, Campanacci L, Gasbarrini A, Bandiera S, Biagini R, et al. Aneurysmal bone cyst of the mobile spine: report on 41 cases. Spine (Phila Pa 1976). 2001;26:27–35. doi: 10.1097/00007632-200101010-00007
Barbanti-Brodano G, Girolami M, Ghermandi R, Terzi S, Gasbarrini A, Bandiera S, et al. Aneurysmal bone cyst of the spine treated by concentrated bone marrow: clinical cases and review of the literature. Eur Spine J. 2017;26(1):158-66. doi: 10.1007/s00586-017-4978-x
Mesfin A, McCarthy EF, Kebaish KM. Surgical treatment of aneurysmal bone cysts of the spine. Iowa Orthop J. 2012;32:40-5.
Zhao Y, He S, Sun H, Cai X, Gao X, Wang P, et al. Symptomatic aneurysmal bone cysts of the spine: clinical features, surgical outcomes, and prognostic factors. Eur Spine J. 2019;28(6):1537-45. doi: 10.1007/s00586-019-05920-7
Zileli M, Isik HS, Ogut FE, Is M, Cagli S, Calli C. Aneurysmal bone cysts of the spine. Eur Spine J. 2013;22(3):593-601. doi: 10.1007/s00586-012-2510-x
Tumturk A, Kaya Ozcora G, Kacar Bayram A, Kabaklioglu M, Doganay S, Canpolat M, et al. Torticollis in children: an alert symptom not to be turned away. Childs Nerv Syst. 2015;31(9):1461-70. doi: 10.1007/s00381-015-2764-9
Per H, Canpolat M, Tümtürk A, Gumuş H, Gokoglu A, Yikilmaz A, et al. Different etiologies of acquired torticollis in childhood. Childs Nerv Syst. 2014;30(3):431-40. doi: 10.1007/s00381-013-2302-6
Tomczak KK, Rosman NP. Torticollis. J Child Neurol. 2013;28(3):365-78. doi: 10.1177/0883073812469294
Mishra A, Pruthi N, Nandeesh BN, Shukla D. Cervical Spine Osteoblastoma with an Aneurysmal Bone Cyst in a 2-Year-Old Child: A Case Report. Pediatric Neurosurgery. 2019;54(1):46-50. doi: 10.1159/000495065
Karampalis C, Lenthall R, Boszczyk B. Solid variant of aneurysmal bone cyst on the cervical spine of a child: case report, differential diagnosis and treatment rationale. Eur Spine J. 2013;22(3):523-31. doi: 10.1007/s00586-012-2548-9
Hay MC, Paterson D, Taylor TK. Aneurysmal bone cysts of the spine. J Bone Joint Surg Br. 1978;60:406–11.
Benayada B, Allali N, Sefiani S, Arkha Y, Dafiri R. Aneurysmal bone cyst: A rare cause of medullary compression and painful scoliosis in children. Presse Med. 2010;39(7-8):837-40. doi: 10.1016/j.lpm.2010.01.008
Cheng JCY, Au AWY. Infantile torticollis: a review of 624 cases. J Pediatr Orthop. 1994;14:802–8.
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