Accepted Manuscript Osteoid osteoma of the dens axis Serdar Aslan, M.D., Tumay Bekci, M.D., Hediye Pinar Gunbey., Kerim Aslan, M.D., Canan Aslan, MD. PII:
S1529-9430(15)00367-8
DOI:
10.1016/j.spinee.2015.04.015
Reference:
SPINEE 56288
To appear in:
The Spine Journal
Received Date: 1 April 2015 Accepted Date: 15 April 2015
Please cite this article as: Aslan S, Bekci T, Gunbey. HP, Aslan K, Aslan C, Osteoid osteoma of the dens axis, The Spine Journal (2015), doi: 10.1016/j.spinee.2015.04.015. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT
Osteoid osteoma of the dens axis
Serdar Aslan, M.D., 1
RI PT
Tumay Bekci, M.D., 1* Hediye Pinar Gunbey., 1 Kerim Aslan, M.D.,1
SC
Canan Aslan , MD., 2
Ondokuz Mayis University Faculty of Medicine, Department of Radiology, Samsun, Turkey
2
Ondokuz Mayis University Faculty of Medicine, Department of Physical Therapy and
EP
TE D
Rehabilitation, Samsun, Turkey
M AN U
1
*Corresponding Author: Tumay Bekci, M.D.
AC C
Ondokuz Mayis University, Faculty of Medicine, Department of Radiology, 55139 Kurupelit, Samsun, Turkey.
Telephone number: +90-362-312-1919 Fax:+90-362-457-7146
E-mail: [email protected]
1
ACCEPTED MANUSCRIPT Osteoid osteoma of the dens axis
2
47-year-old female was admitted to our hospital with the complaints of intermittent neck pain
3
lasting for two years which had worsened in last three months and more severe at nights.
4
Rotational neck movement and flexion of the neck had recently become painful. There was no
5
history of neck trauma. Physical examination revealed tenderness to touch on the posterior
6
aspect of the upper neck and no other abnormality on neurologic examination. Cervical spine
7
computed tomography (CT) scan revealed centrally hypodense area surrounded by sclerotic
8
rim at dens axis and sclerotic changes involving odontoid process of the axis. (Fig. 1A-C)
9
Based on the CT findings and patient's medical history and positive acetylsalicylic test, the
10
diagnosis of the osteoid osteoma of the dens axis was made. The patient refused surgery for
11
fear of surgical risks and we prescribed celecoxib 200 mg per day to the patient. At the six-
12
month follow-up, the patient was free of symptoms.
13
Figure Legend
14
Fig. 1 Axial (A), coronal (B) and sagittal (C) CT images showing the nidus and surrounding
15
sclerotic margin at the dens axis (arrowheads).
AC C
EP
TE D
M AN U
SC
RI PT
1
AC C
EP
TE D
M AN U
SC
RI PT
ACCEPTED MANUSCRIPT
S1529-9430(15)00367-8
DOI:
10.1016/j.spinee.2015.04.015
Reference:
SPINEE 56288
To appear in:
The Spine Journal
Received Date: 1 April 2015 Accepted Date: 15 April 2015
Please cite this article as: Aslan S, Bekci T, Gunbey. HP, Aslan K, Aslan C, Osteoid osteoma of the dens axis, The Spine Journal (2015), doi: 10.1016/j.spinee.2015.04.015. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT
Osteoid osteoma of the dens axis
Serdar Aslan, M.D., 1
RI PT
Tumay Bekci, M.D., 1* Hediye Pinar Gunbey., 1 Kerim Aslan, M.D.,1
SC
Canan Aslan , MD., 2
Ondokuz Mayis University Faculty of Medicine, Department of Radiology, Samsun, Turkey
2
Ondokuz Mayis University Faculty of Medicine, Department of Physical Therapy and
EP
TE D
Rehabilitation, Samsun, Turkey
M AN U
1
*Corresponding Author: Tumay Bekci, M.D.
AC C
Ondokuz Mayis University, Faculty of Medicine, Department of Radiology, 55139 Kurupelit, Samsun, Turkey.
Telephone number: +90-362-312-1919 Fax:+90-362-457-7146
E-mail: [email protected]
1
ACCEPTED MANUSCRIPT Osteoid osteoma of the dens axis
2
47-year-old female was admitted to our hospital with the complaints of intermittent neck pain
3
lasting for two years which had worsened in last three months and more severe at nights.
4
Rotational neck movement and flexion of the neck had recently become painful. There was no
5
history of neck trauma. Physical examination revealed tenderness to touch on the posterior
6
aspect of the upper neck and no other abnormality on neurologic examination. Cervical spine
7
computed tomography (CT) scan revealed centrally hypodense area surrounded by sclerotic
8
rim at dens axis and sclerotic changes involving odontoid process of the axis. (Fig. 1A-C)
9
Based on the CT findings and patient's medical history and positive acetylsalicylic test, the
10
diagnosis of the osteoid osteoma of the dens axis was made. The patient refused surgery for
11
fear of surgical risks and we prescribed celecoxib 200 mg per day to the patient. At the six-
12
month follow-up, the patient was free of symptoms.
13
Figure Legend
14
Fig. 1 Axial (A), coronal (B) and sagittal (C) CT images showing the nidus and surrounding
15
sclerotic margin at the dens axis (arrowheads).
AC C
EP
TE D
M AN U
SC
RI PT
1
AC C
EP
TE D
M AN U
SC
RI PT
ACCEPTED MANUSCRIPT
