ATLASIN OSTEOİD OSTEOMASI: YENİ BİR VAKA SUNUMU VE LİTERATÜRÜN GÖZDEN GEÇİRİLMESİ

Abstract

Osteoid osteomas of the cervical spine are uncommon causes of neck pain and painful torticollis in children, adolescents and young adults. In the cervical spine, affection of the upper cervical spine is rarely reported and in particular, atlas vertebra remains the least common location for being involved by osteoid osteomas, where only four cases have been reported previously.Osteoid osteomas of the cervical spine are uncommon causes of neck pain and painful torticollis in children, adolescents and young adults. In the cervical spine, affection of the upper cervical spine is rarely reported and in particular, atlas vertebra remains the least common location for being involved by osteoid osteomas, where only four cases have been reported previously.Imaging studies in a 30-year-old male suffering from severe neck pain for a period of one year disclosed an osteoid osteoma of the atlas arch. The tumor was removed with laminectomy of the atlas. Postoperatively, neck pain disappeared within a few days. At 2-year follow-up, the patient has remained symptom free.Review of the literature disclosed since the report of the first example of the osteoid osteoma of the atlas in 1978 by Jones only 3 more cases have been published so far. Therefore, the current case is the fifth example of atlas affection by this tumor

Özet

Osteoid osteoma, adölesan ve genç erişkinlerde, servikal bölgede, ağrılı torticollisin en sık sebebidir. Servikal bölgede üst servikal tutulum oldukça nadir olup, sadece 4 vaka rapor edilmiştir. Bu olgu sunumunda 1 yıldır ağrısı olan ve görüntüme çalışmaları ile atlasın arkında yerleşmiş osteoid osteoma sunulmuştur. Tümör laminektomi ile çıkartılmıştır. Postoperatif bir kaç hafta ağrısı olan hastanın 2 yıl sonundaki kontrolünde hastanın ağrısının olmadığı belirlenmiştir. Literatür taramasında ilki 1978 yılında Jones tarafından tanımlanan olgu dışında 3 olgu daha yayınlandığı görülmüştür. Bu olgu, literatürdeki 5. olgudur