Giant Hypertrophy of the Fifth Cervical Spinous Process with associated Hemivertebra presenting as Posterior Neck Mass

Authors

  • Obirija SE Department of Radiology, Alex Ekwueme Federal University Teaching Hospital, Abakaliki Ebonyi State.
  • Rasheed MW Department of Anatomic Pathology, College of Medicine and Allied Medical Science, Federal University Dutse, Jigawa State
  • Okonkwo JE Department of Radiology, Lagos University Teaching Hospital, Idi-Araba, Lagos State.
  • Oduola-Owoo LT Department of Radiology, Federal Medical Centre, Ebutte Meta, Lagos

DOI:

https://doi.org/10.60787/tnhj.v23i4.756

Keywords:

Spine, cervical spine, computed tomography, hypertrophy of the spinous process

Abstract

Congenital anomalies of the spine are relatively common and can affect both upper and lower limbs. However, hypertrophy of the spinous process is an extremely rare anomaly of the cervical spine, and many anomalies of the cervical spines are commonly encountered which include persisting apophyses of the transverse processes, persisting epiphyses, vertebral platyspondylia, vertebral hypoplasia, and dysplasia of the arch of the vertebra. The majority of these vertebral abnormalities are often incidental findings in radiography with few causing pain, and aesthetic problems to the patients. Thus, we present a 12-year-old female who presented to the paediatric outpatient clinic on account of swelling at the lower back of her neck of 4 years duration, and recurrent neck pain of one-month duration. The patient noticed the mass 4- years prior to presentation, as a painless, slow-growing lump behind her neck which appears more prominent whenever she flexes her neck. The USS revealed a linear hyperechogenicity within the hypoechoic soft tissue (muscle) of the posterior neck and a plain radiograph of the neck was subsequently obtained and showed abnormal elongation with downward curvature of the spinous process of the sixth cervical vertebra. A diagnosis of giant hypertrophy of the fifth cervical vertebra spinous process with hemivertebra at C6 was made. The was managed conservatively with satisfactory outcomes.

Downloads

Download data is not yet available.

References

Farooqi RM, Mehmood M, Kotwal HA. Hyperplasia of Lamina and Spinous Process of C5 Vertebrae and Associated Hemivertebra at C4 Level. J. Orth. Case Reports. 2017;7(1):79-81.

Klimo P Jr, Rao G, Brockmeyer D. Congenital anomalies of the cervical spine. Neurosurg Clin N Am. 2007; 18: 463-478.

Beals RK, Robbins JR, Rolfe B. Anomalies associated with vertebral malformations. 1993: (18): 1329-1332.

Basu PS, Elsebaie H, Noordeen MH. Congenital spinal deformity: a comprehensive assessment at presentation. Spine.2002; 27:2255-2259.

Heyer CM, Nicolas V, Peters SA. Unilateral hyperplasis of a cervical spinous process as a rare congenital variant of the spine. Clin Imaging. 2007; 31(6):343-346.

Esposito G, de Bonis P, Tamburrini G, Massimi L, Byvaltsev V, Di Rocco CD, et al. Unilateral hyperplasia of the left posterior arch and associated vertebral schisis at C6 level. Skeletal Radiol 2009;38(12):1191-1195

Moghaddam AM, Tanriöver N, Ulu MO, Muhammedrezai S, Akar Z. Cervical intradural lipoma with associated hemivertebra formation at C6 level: A case report. Turk Neurosurg 2008;18(2):187-190.

Mesut ME, Ữnsal ỮỮ, Duranosoy YK, Umur AS, Selcuki M. A giant hypertrophy of C5 spinous process in Klippel- Feil syndrome. J neurol Sci (Turkish). 2015; 32(3):575-579

Reddy OJ, Gafoor JA, Suresh B, Lakshmi KC. A case report of giant C5 spinous process with partial vertebrae fusion at C2, C3, and C4 levels. J NTR Univ Health Sci. 2017; 6: 129-132.

Atalar H, Yavuz OY, Doğruel H, Catal SA, Sayli U. Phalanx-like osseous structure posterior to the cervical vertebrae: a hitherto unreported location for a rare anomaly. Acta Orthop Traumatol Turc. 2005;39(4):361–364.

Rashid M, Khalid M, Malik N. Sacral rib: a rare congenital anomaly. Acta Orthop Belg. 2008;74(3):429–431

Ishikawa E, Matsumura A, Enomoto T, Tsurubuchi T, Nose T. Ectopic fingerlike structure in the thoracic region: case report. J Neurosurg Spine. 2001; 95:250–252.

Downloads

Published

2024-01-15

How to Cite

Emeka, O. S., Mumuni Wemimo, R., Ebele, O. J., & Oduola-Owoo, L. . T. (2024). Giant Hypertrophy of the Fifth Cervical Spinous Process with associated Hemivertebra presenting as Posterior Neck Mass . The Nigerian Health Journal, 23(4), 990–996. https://doi.org/10.60787/tnhj.v23i4.756

Issue

Section

Case Report and Series
Abtract Views | PDF Download | EPUB Download: 140 / 106 / 75

Similar Articles

1 2 3 4 5 > >> 

You may also start an advanced similarity search for this article.