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Neurosurgery:
June 2007 - Volume 60 - Issue 6 - p E1151
doi: 10.1227/01.NEU.0000255477.06247.B8
Case Reports

Cervical Tumoral Calcium Pyrophosphate Dihydrate Deposition Disease 28 Years After Suboccipital Craniotomy: Case Report

Scavarda, Didier M.D.; Litre, Claude F. M.D.; Froelich, Stéphane M.D.; Srour, Robin M.D.; Rousseaux, Pascal M.D.

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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.

Copyright © by the Congress of Neurological Surgeons

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