Skip to main content
Log in

Osteochondroma mimicking meningioma: case report and literature update

  • Case Report
  • Published:
Skeletal Radiology Aims and scope Submit manuscript

Abstract

We report a case of an osteochondroma in a 47-year-old woman presenting with a 2-month history of thoracic back pain that radiated down her left arm. Based on imaging features, the osteochondroma was initially thought to represent a calcified meningioma. The unusual features of the case include the location of the tumor, patient age, the erosion of the vertebra, and the confusing neuroradiological features. We review reported cases in which a solitary costal osteochondroma impinges on the neural foramina or central spinal canal and we discuss reasons for the misdiagnosis in our case.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Folpe A, Inwards C. Bone and soft tissue pathology. Philadelphia, PA: Saunders/Elsevier; 2010.

    Google Scholar 

  2. Chazono M, Masui F, Kawaguchi Y, Hazama H, Ueda J, Saito S, et al. Dumbbell-shaped osteochondroma of the fifth rib causing spinal cord compression. J Orthop Sci. 2009;14(3):259–61.

    Article  Google Scholar 

  3. Milgram J. The origins of osteochondromas and enchondromas. Clin Orthop Relat Res. 1983;174:264–84.

    Google Scholar 

  4. Twersky J, Kassner E, Tenner M, Camera A. Vertebral and coastal osteochondromas causing spinal cord compression. Am J Roentgenol. 1975;124(1):124–8.

    Article  CAS  Google Scholar 

  5. Natarajan M, Balakrishnan D, Srinivasan V. Solitary osteochondroma causing spinal cord compression. Int Surg. 1976;61:494–5.

    CAS  PubMed  Google Scholar 

  6. Kane P, Coulthard A, Raghavan R, Jenkins A. Osteochondroma of the rib: an unusual cause of paraparesis. Surg Neurol. 1994;41(5):414–7.

    Article  CAS  PubMed  Google Scholar 

  7. Rao A, Abraham R, Rajshekhar V. Osteochondroma of rib with neural foraminal extension and cord compression. Neurol India. 2007;55(4):428.

    Article  CAS  PubMed  Google Scholar 

  8. Shim J, Park C, Shin S, Jeong H, Hwang J. Solitary osteochondroma of the twelfth rib with intraspinal extension and cord compression in a middle-aged patient. BMC Musculoskelet Disord. 2012;13(1):57.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Karasick D, Schweitzer ME, Eschelman DJ. Symptomatic osteochondromas: imaging features. Am J Roentgenol. 1997;168(6):1507–12.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Julia R. Crim.

Ethics declarations

Conflicts of interest

None.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sampath, A.J., Miller, D.C., Mesfin, F.B. et al. Osteochondroma mimicking meningioma: case report and literature update. Skeletal Radiol 46, 825–829 (2017). https://doi.org/10.1007/s00256-017-2608-7

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00256-017-2608-7

Keywords

Navigation