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Aneurysmal bone cyst at C2: imaging evaluation after intralesional injection of calcitonin and methylprednisolone.

AbstractOBJECTIVE:
To demonstrate imaging findings during the follow-up of patients with aneurysmal bone cyst (ABC) of C2 treated with intralesional injection of calcitonin and methylprednisolone.
METHOD:
Three patients with ABC of C2 were treated percutaneously with intralesional injection of calcitonin and methylprednisolone. All the patients were females, with ages varying from 6 to 13 years. All of them presented with cervical masses, but without neurological symptoms.
RESULTS:
Imaging follow-up with CT and plain films showed progressive ossification and reduction of the blood-filled cavities with volume reduction of all lesions. No recurrence was noted during the follow-up.
CONCLUSION:
Intralesional injection of calcitonin and methylprednisolone is a safe treatment option for cervical ABC. The CT scan is especially valuable as a guide of injection site and for the follow-up of ossification of the treated ABCs.
AuthorsElise T Tonomura, Paulo Ramos, Paulo Miguel Hemais, Edson Marchiori, Emerson L Gasparetto
JournalArquivos de neuro-psiquiatria (Arq Neuropsiquiatr) Vol. 66 Issue 3B Pg. 711-5 (Sep 2008) ISSN: 1678-4227 [Electronic] Germany
PMID18949268 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Anti-Inflammatory Agents
  • Bone Density Conservation Agents
  • Calcitonin
  • Methylprednisolone
Topics
  • Adolescent
  • Anti-Inflammatory Agents (administration & dosage)
  • Bone Cysts, Aneurysmal (diagnostic imaging, drug therapy)
  • Bone Density Conservation Agents (administration & dosage)
  • Calcitonin (administration & dosage)
  • Cervical Vertebrae (diagnostic imaging)
  • Child
  • Drug Therapy, Combination
  • Female
  • Humans
  • Injections, Intralesional
  • Methylprednisolone (administration & dosage)
  • Tomography, X-Ray Computed
  • Treatment Outcome

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