Solitary Cervical Osteochondroma with Neurological Symptoms: Case Report

Osteochondromas are among the most common benign tumors of the bone. They mostly arise from the metaphysis of the long bones in the first two decades of life. Involvement of the flat bones is uncommon and the involvement of the small bones of hands and vertebrae are extremely rare. We report a 42-year-old male patient who presented with neck pain, numbness and weakness of left arm. Radiological images revealed a solitary, well defined, bony lesion in the cervical canal between C1-C2 arches. Exci­sional biopsy was performed. Histopathological examination of the specimen was in consistent with the clinical diagnosis of osteochondroma. We conclude that this rare tumor of the cervical spine can cause serious neurological symptoms and the total excision of the lesion assures a good outcome.