A Rare Case of Radiculopathy: Monostotic Fibrous Dysplasia of the Sacrum

Fibrous dysplasia is a bone disease characterized by an osteoblastic dysfunction resulting in a fibrous replacement of the normal medullary bone. We describe the case of a 33-year-old who presented with low back pain irradiating to her right leg. Both the computed tomography scan and magnetic reson...

Full description

Bibliographic Details
Main Authors: Joaquim Cruz Teixeira, Diogo Cardoso Simão, José Pimentel, Sérgio Livraghi
Format: Article
Language:English
Published: Ordem dos Médicos 2019-06-01
Series:Acta Médica Portuguesa
Subjects:
Online Access:https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9331
_version_ 1811242363208597504
author Joaquim Cruz Teixeira
Diogo Cardoso Simão
José Pimentel
Sérgio Livraghi
author_facet Joaquim Cruz Teixeira
Diogo Cardoso Simão
José Pimentel
Sérgio Livraghi
author_sort Joaquim Cruz Teixeira
collection DOAJ
description Fibrous dysplasia is a bone disease characterized by an osteoblastic dysfunction resulting in a fibrous replacement of the normal medullary bone. We describe the case of a 33-year-old who presented with low back pain irradiating to her right leg. Both the computed tomography scan and magnetic resonance imaging showed an osteolytic, multicystic lesion of the right hemi-sacrum with invasion of the right S1 foramen. She underwent foraminotomy and curettage of the lesion. Histological diagnosis was fibrous dysplasia, without features of malignant transformation. Three years after surgery the patient is asymptomatic and imaging is stable. This is the fifth known case of monostotic fibrous dysplasia involving the sacrum, a rare entity that must be considered in the differential diagnosis when approaching patients with sacral lesions.
first_indexed 2024-04-12T13:50:15Z
format Article
id doaj.art-443aa9ca2cf54b10baa9ac30e72664b3
institution Directory Open Access Journal
issn 0870-399X
1646-0758
language English
last_indexed 2024-04-12T13:50:15Z
publishDate 2019-06-01
publisher Ordem dos Médicos
record_format Article
series Acta Médica Portuguesa
spelling doaj.art-443aa9ca2cf54b10baa9ac30e72664b32022-12-22T03:30:33ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582019-06-0132610.20344/amp.93314806A Rare Case of Radiculopathy: Monostotic Fibrous Dysplasia of the SacrumJoaquim Cruz Teixeira0Diogo Cardoso Simão1José Pimentel2Sérgio Livraghi3Department of Neurosurgery. Hospital de Santa Maria. Centro Hospitalar de Lisboa Norte. Lisbon.Department of Neurosurgery. Hospital de Santa Maria. Centro Hospitalar de Lisboa Norte. Lisbon.Laboratory of Neuropathology. Department of Neurology. Hospital de Santa Maria. Centro Hospitalar de Lisboa Norte. Lisbon.Department of Neurosurgery. Hospital de Santa Maria. Centro Hospitalar de Lisboa Norte. Lisbon. Fibrous dysplasia is a bone disease characterized by an osteoblastic dysfunction resulting in a fibrous replacement of the normal medullary bone. We describe the case of a 33-year-old who presented with low back pain irradiating to her right leg. Both the computed tomography scan and magnetic resonance imaging showed an osteolytic, multicystic lesion of the right hemi-sacrum with invasion of the right S1 foramen. She underwent foraminotomy and curettage of the lesion. Histological diagnosis was fibrous dysplasia, without features of malignant transformation. Three years after surgery the patient is asymptomatic and imaging is stable. This is the fifth known case of monostotic fibrous dysplasia involving the sacrum, a rare entity that must be considered in the differential diagnosis when approaching patients with sacral lesions. https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9331Fibrous DysplasiaMonostoticRadiculopathySacrum
spellingShingle Joaquim Cruz Teixeira
Diogo Cardoso Simão
José Pimentel
Sérgio Livraghi
A Rare Case of Radiculopathy: Monostotic Fibrous Dysplasia of the Sacrum
Acta Médica Portuguesa
Fibrous Dysplasia
Monostotic
Radiculopathy
Sacrum
title A Rare Case of Radiculopathy: Monostotic Fibrous Dysplasia of the Sacrum
title_full A Rare Case of Radiculopathy: Monostotic Fibrous Dysplasia of the Sacrum
title_fullStr A Rare Case of Radiculopathy: Monostotic Fibrous Dysplasia of the Sacrum
title_full_unstemmed A Rare Case of Radiculopathy: Monostotic Fibrous Dysplasia of the Sacrum
title_short A Rare Case of Radiculopathy: Monostotic Fibrous Dysplasia of the Sacrum
title_sort rare case of radiculopathy monostotic fibrous dysplasia of the sacrum
topic Fibrous Dysplasia
Monostotic
Radiculopathy
Sacrum
url https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9331
work_keys_str_mv AT joaquimcruzteixeira ararecaseofradiculopathymonostoticfibrousdysplasiaofthesacrum
AT diogocardososimao ararecaseofradiculopathymonostoticfibrousdysplasiaofthesacrum
AT josepimentel ararecaseofradiculopathymonostoticfibrousdysplasiaofthesacrum
AT sergiolivraghi ararecaseofradiculopathymonostoticfibrousdysplasiaofthesacrum
AT joaquimcruzteixeira rarecaseofradiculopathymonostoticfibrousdysplasiaofthesacrum
AT diogocardososimao rarecaseofradiculopathymonostoticfibrousdysplasiaofthesacrum
AT josepimentel rarecaseofradiculopathymonostoticfibrousdysplasiaofthesacrum
AT sergiolivraghi rarecaseofradiculopathymonostoticfibrousdysplasiaofthesacrum