Unusual presentation of aneurysmal bone cyst (ABC) in children: pediatric intracranial osteosarcoma with secondary ABC.
Ninad SawantDeepak Kumar GuptaVivek KumarHarshavardhan BiradarAjay GargM C SharmaPublished in: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery (2023)
A 13-year-old female patient presented with painless vision loss and proptosis for 18 months. Imaging findings were highly suggestive of a supraorbital aneurysmal bone cyst (ABC) for which she underwent complete surgical excision. Postoperatively, she developed left hemiparesis. Computed tomography angiography (CTA) revealed right complete internal carotid arterial (ICA) thrombosis. This was managed conservatively, and she improved in hemiparesis over the next 3 weeks. Histopathology report revealed osteosarcoma with secondary ABC, for which she was referred for radiotherapy. At 1.5 months follow-up, the patient's left lower limb power improved to 4 + /5. She was walking without support, and her left upper limb power was 4/5.
Keyphrases
- upper limb
- lower limb
- case report
- bone mineral density
- single cell
- early stage
- high resolution
- young adults
- soft tissue
- radiation therapy
- pulmonary embolism
- bone loss
- magnetic resonance
- bone regeneration
- squamous cell carcinoma
- body composition
- magnetic resonance imaging
- computed tomography
- mass spectrometry
- rectal cancer