Brown tumour as an unusual but preventable cause of spinal cord compression: case report and literature review

Brown tumour is an infrequent, focal, and benign osteolytic lesion which is a consequence of abnormal bone metabolism in hyperparathyroidism (both primary and secondary). It is also known as Osteoclastoma. In the present era, we rarely encounter skeletal disease caused by primary hyperparathyroidis...

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Main Authors: Sabiha Banu, Saira Furqan
Format: Article
Language:English
Published: Pakistan Medical Association 2023-06-01
Series:Journal of the Pakistan Medical Association
Online Access:https://ojs.jpma.org.pk/index.php/public_html/article/view/6271
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author Sabiha Banu
Saira Furqan
author_facet Sabiha Banu
Saira Furqan
author_sort Sabiha Banu
collection DOAJ
description Brown tumour is an infrequent, focal, and benign osteolytic lesion which is a consequence of abnormal bone metabolism in hyperparathyroidism (both primary and secondary). It is also known as Osteoclastoma. In the present era, we rarely encounter skeletal disease caused by primary hyperparathyroidism. Although it is a rare presentation because of advancement of treatment but still can be encountered because of lack of standard care so we should have high index of suspicion to avoid this preventable complication. We report here a case of brown tumour in the thoracic vertebra of a young female patient with End Stage Renal Disease, who presented with backache and bilateral lower limb weakness. MRI of the spine showed multiple non-enhancing abnormal signals involving vertebral body of C2, posterior elements of C6, and bilateral sacral vertebra, suggestive of healed fractures versus bone forming tumours. She underwent laminectomy. ---Continue
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spelling doaj.art-24fb171504cc4e0ab4fb875728cb6faa2023-06-26T04:32:01ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822023-06-0173710.47391/JPMA.6271Brown tumour as an unusual but preventable cause of spinal cord compression: case report and literature reviewSabiha Banu0Saira Furqan1Department of Medicine, Aga Khan University Hospital, Karachi, PakistanDepartment of Medicine, Aga Khan University Hospital, Karachi, Pakistan Brown tumour is an infrequent, focal, and benign osteolytic lesion which is a consequence of abnormal bone metabolism in hyperparathyroidism (both primary and secondary). It is also known as Osteoclastoma. In the present era, we rarely encounter skeletal disease caused by primary hyperparathyroidism. Although it is a rare presentation because of advancement of treatment but still can be encountered because of lack of standard care so we should have high index of suspicion to avoid this preventable complication. We report here a case of brown tumour in the thoracic vertebra of a young female patient with End Stage Renal Disease, who presented with backache and bilateral lower limb weakness. MRI of the spine showed multiple non-enhancing abnormal signals involving vertebral body of C2, posterior elements of C6, and bilateral sacral vertebra, suggestive of healed fractures versus bone forming tumours. She underwent laminectomy. ---Continue https://ojs.jpma.org.pk/index.php/public_html/article/view/6271
spellingShingle Sabiha Banu
Saira Furqan
Brown tumour as an unusual but preventable cause of spinal cord compression: case report and literature review
Journal of the Pakistan Medical Association
title Brown tumour as an unusual but preventable cause of spinal cord compression: case report and literature review
title_full Brown tumour as an unusual but preventable cause of spinal cord compression: case report and literature review
title_fullStr Brown tumour as an unusual but preventable cause of spinal cord compression: case report and literature review
title_full_unstemmed Brown tumour as an unusual but preventable cause of spinal cord compression: case report and literature review
title_short Brown tumour as an unusual but preventable cause of spinal cord compression: case report and literature review
title_sort brown tumour as an unusual but preventable cause of spinal cord compression case report and literature review
url https://ojs.jpma.org.pk/index.php/public_html/article/view/6271
work_keys_str_mv AT sabihabanu browntumourasanunusualbutpreventablecauseofspinalcordcompressioncasereportandliteraturereview
AT sairafurqan browntumourasanunusualbutpreventablecauseofspinalcordcompressioncasereportandliteraturereview