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Updated: May 28, 2026
04:06
Minimally Invasive Surgical Decompression of Occipital Nerves
Published on: September 13, 2024
Aneurysmal bone cyst of the occipital bone
Javed Mehboob1, Uzma Aleem, Asghar H Asghar
1Department of Radiology, Karachi Institute of Radiotherapy and Nuclear Medicine, Gulzar-e-Hijri, Off University Road, Karachi. jmehboob69@yahoo.com
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|October 22, 2011
Summary
Aneurysmal bone cysts are rare, benign bone tumors. This case highlights a rare occipital bone presentation in a pediatric patient, emphasizing surgical treatment and radiotherapy for incomplete excisions.
Area of Science:
- Orthopedic Surgery
- Pediatric Oncology
- Radiology
Background:
- Aneurysmal bone cysts (ABCs) are rare, benign, expansile, osteolytic bone lesions.
- They typically occur in long bones and the spine, but can rarely affect the skull.
- Early diagnosis and appropriate management are crucial for favorable outcomes.
Observation:
- A 13-year-old boy presented with a three-month history of a painless, hard, fixed swelling in the occipital region.
- Radiographic imaging, including plain X-ray, CT scan, and MRI, revealed an expansile, multiloculated cystic lesion in the occipital bone.
Findings:
- Histopathological examination confirmed the diagnosis of an aneurysmal bone cyst.
- The lesion demonstrated characteristic features of ABCs on imaging and microscopy.
Implications:
- Surgical excision is the primary treatment for symptomatic or growing ABCs.
- Radiotherapy may be considered as an adjunct treatment for incompletely excised lesions or in cases where surgery is not feasible.
- Multidisciplinary management involving orthopedic surgeons, oncologists, and radiologists is essential for optimal patient care.
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