Cervical tumoral calcium pyrophosphate dihydrate deposition disease 28 years after suboccipital craniotomy: case report

Neurosurgery. 2007 Jun;60(6):E1151; discussion E1151. doi: 10.1227/01.NEU.0000255477.06247.B8.

Abstract

Objective: To describe a rare case of tumoral cervical chondrocalcinosis that appeared 28 years after the patient had undergone suboccipital craniotomy.

Clinical presentation: A 42-year-old woman suffered from cervicalgia associated with a firm mass at the occipitocervical region. Plain x-ray and computed tomographic and magnetic resonance images revealed a calcified lesion in a scar from a previous suboccipital craniotomy.

Intervention: The patient underwent tumorectomy and histopathology, which revealed an exuberant tumoral chondrocalcinosis. Laboratory test results revealed no secondary cause for the chondrocalcinosis.

Conclusion: Identification of chondrocalcinosis beyond the cervical region is very rare. Localization of chondrocalcinosis in a scar from a previous suboccipital craniotomy has not been previously reported. Surgery appears to be the treatment of choice for this form of chondrocalcinosis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cervical Vertebrae
  • Chondrocalcinosis / diagnosis
  • Chondrocalcinosis / etiology*
  • Chondrocalcinosis / surgery
  • Cicatrix / etiology
  • Craniotomy / adverse effects*
  • Female
  • Humans
  • Time Factors