A rare cause of acute paraplegia: Aneurysmal bone cyst

Abstract

Aneurysmal bone cyst of the spine can rarely cause acute paraplegia in young patients. A 30-year-old male patient presented to our physical medicine and rehabilitation outpatient clinic with back pain and bilateral lower extremity weakness for 2 weeks. The patient had no history of trauma. In magnetic resonance imaging, the cystic lesions were determined which destructive, contain internal septations and have multiple fluid-fluid levels at the T5-T6 level. The aneurysmal bone cyst was shown by histopathology. Complete resection to the cystic lesion and posterior segmental instrumentation at T2-T7 level were performed. In the control examination performed 6 months later, lower extremity muscle strength was complete and no recurrence was detected.