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The
patient came
to the clinic 10-July-2010 complaining of a bony
mass at the nuchal protuberance for 9 years. The
patient was neurologically free, but complaining
of headache with neck pain in the last 6 months
and LBP with numbness of the right lower limb
for 1 year. |
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MRI of the brain
done 08-June-2010 showing intraossal
eosinophylic granuloma over the confluence
sinnuum, which in comparison with the MRI
performed 2001 and 2002 became bigger in
dimensions. CT-scan performed 08-July-2010
showing the mass destroying the outer and inner
bony boundaries. |
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On examination: The
patient is neurologically free. |
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MRI of the brain
with MRV performed 13-July-2010 showing the mass
without involvement of the venous structures and
has 2 lobulations, more to the right. |
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In supine position with head in flexion,
vertical midline incision was done. The mass was
totally removed and drilling of the affected
bone was performed. The dura was seen over
the confluence and the bone defect was wide, for
what bone cement was used to close the bone
defect. The mass was sent for biopsy, it was
resembling an epidermoid. |
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Routine closure of
the wound and smooth postoperative recovery. |
