Neuropediatrics 2021; 52(02): 105-108
DOI: 10.1055/s-0040-1715488
Original Article

Osteoid Osteoma of the Atlas in a Boy: Clinical and Imaging Features–A Case Report and Review of the Literature

1  Department of Biomedical, Metabolic and Neural Sciences, Neurosurgery Unit, Azienda Ospedaliero-Universitaria di Modena, Modena, Italy
,
Salvatore Donatiello
2  Division of General and Emergency Radiology, Sant'Agostino-Estense Hospital, Modena, Italy
,
Graziana Gallo
3  Department of Pathology, Ospedale Policlinico e Nuovo Ospedale Civile S. Agostino Estense Modena, University of Modena and Reggio Emilia, Modena, Italy
,
Monica Cellini
4  Division of Paediatric Oncology-Haematology, Policlinico Hospital, Modena, Italy
,
Antonino Maiorana
3  Department of Pathology, Ospedale Policlinico e Nuovo Ospedale Civile S. Agostino Estense Modena, University of Modena and Reggio Emilia, Modena, Italy
,
Vincenzo Spina
2  Division of General and Emergency Radiology, Sant'Agostino-Estense Hospital, Modena, Italy
,
Giacomo Pavesi
1  Department of Biomedical, Metabolic and Neural Sciences, Neurosurgery Unit, Azienda Ospedaliero-Universitaria di Modena, Modena, Italy
› Author Affiliations

Abstract

Osteoid osteoma is a benign osteoblastic tumor, quite uncommon in the spine. We report a case of an osteoid osteoma involving the atlas in a 6-year-old boy, who presented with suboccipital pain and torticollis. Initial radiological findings were ambiguous as magnetic resonance imaging showed mainly edema of upper cervical soft tissues. The subsequent computed tomography depicted a lesion of left lamina of C1. As conservative treatment failed, the lesion was surgically resected and the patient became pain free. To our knowledge, this is the first case of osteoid osteoma involving the atlas associated with abnormal soft tissue reaction reported in literature.



Publication History

Received: 01 April 2020

Accepted: 02 July 2020

Publication Date:
27 October 2020 (online)

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