Successful treatment of a Musculoskeletal Tumor Society grade 3 aneurysmal bone cyst with N-butyl cyanoacrylate embolization and percutaneous cryoablation

J Vasc Interv Radiol. 2015 Jun;26(6):905-9. doi: 10.1016/j.jvir.2015.01.019.

Abstract

This report presents a 13-year-old girl with an aggressive skeletal lesion involving the posterior elements of the cervicothoracic junction. The lesion was determined to be a Musculoskeletal Tumor Society grade 3 aneurysmal bone cyst based on imaging and pathologic findings. The cyst was treated with endovascular n-butyl cyanoacrylate embolization and percutaneous cryoablation with sensory and motor-evoked potential monitoring. Follow-up imaging at 16 months demonstrated significant reduction in the size of the lesion, with no evidence of recurrence.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Bone Cysts, Aneurysmal / diagnosis
  • Bone Cysts, Aneurysmal / therapy*
  • Cervical Vertebrae / diagnostic imaging
  • Cervical Vertebrae / pathology
  • Cervical Vertebrae / surgery*
  • Combined Modality Therapy
  • Cryosurgery / methods*
  • Embolization, Therapeutic / methods*
  • Enbucrilate / administration & dosage*
  • Evoked Potentials, Motor
  • Evoked Potentials, Somatosensory
  • Female
  • Humans
  • Intraoperative Neurophysiological Monitoring / methods
  • Magnetic Resonance Imaging
  • Spinal Diseases / diagnosis
  • Spinal Diseases / therapy*
  • Thoracic Vertebrae / diagnostic imaging
  • Thoracic Vertebrae / pathology
  • Thoracic Vertebrae / surgery*
  • Time Factors
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Enbucrilate