Acta Medica Iranica 2014. 52(6):484-487.

Brown tumor of lumbar spine in chronic renal failure: a case report.
Babak Mirzashahi, Mohammad Vahedian Ardakani, Abdonaser Farzan

Abstract


Brown tumors may occur secondary to hyperparathyroidism in patients with chronic renal failure (CKD). They are increasingly rare because hyperparathyroidism in now diagnosed and treated at an early stage. We report 67-year-old man who had been on hemodialysis for CRF for over 3 years, who presented with back pain over the thoracolumbar junction from 2 years ago and because of pain he could not stand or walk in the last 3 months before surgery. Ambulation was regained after surgical decompression and stabilization. In conclusion, when brown tumor arises in the spine, surgery may be needed to preserve neurologic function.

Keywords


Brown tumor; Hyperparathyroidism; Spinal cord compression; Spinal tumor

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References


Potts JT Jr. Diseases of the parathyroid gland and other hyper- and hypocalcemic disorders. In: Longo D, Fauci A, Kasper D, et al, editors. Harrison’s principles of internalmedicine. 18th ed. New York: McGraw Hill; 2012: p. 2249-68.

Vandenbussche E, Schmider L, Mutschler C, et al. Brown tumor of the spine and progressive paraplegia in a hemodialysis patient. Spine 2004;29(12):E251-5.

Mak KC, Wong YW, LUK KD. Spinal cord compression secondary to brown tumor in a patient on long-term hemodialysis:a case report. J Orthop Surg 2009;17(1):90-5.

Fineman I, Johnson JP, Di-Patre PL, et al. Chronic renal failure causing brown tumors and myelopathy.Case report and review of pathophysiology and treatment. J Neorosurg 1999;90(2 Suppl):242-6.

Barlow IW, Archer IA. Brown tumor of the cervical spine. Spine 1993;18(7):936-7.

Clyde A Helms. Muscloskeletal Radiology. In: Brant WE, Helms CA, editors. Diagnostic radiology. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2007: p. 980-99.

Maitra A. The endocrine system. In: Kummar V, Abbas AK, Aster JC, editors. Robbins basic pathology. 8th ed. Philadelphia: Saunders; 2007: p. 751-800.

Paderni S, Bandiera S, Boriani S. Vertebral localization of a brown tumor: Description of a case and review of literature. Chir Organi Mov 2003;88(1):83-91.

Pierro Picci. Pseudotumors of bone that stimulate parimary malignancies.In : Mirra JM, editor. Bone tumors. 2nd ed. Philadelphia: Lea and Febiger; 1989: p. 1755-802.

Kaya RA, Cavusoglu H, Tanik C, et al. Spinal cord compression caused by a brown tumor of the cervicothoracic junction. Spine 2007;7(6): 728-32.

Jackson W, Sethi A, Carp J, et al. Unusual spinal manifestation in secondary hyperparathyroidism: a case report. Spine 2007;32(19):557-60.


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