Brown tumor in secondary hyperparathyroidism causing acute paraplegia

Mark E. Bohlman, Young Choo Kim, James Eagan, Everett K. Spees

Research output: Contribution to journalArticle

Abstract

The first known case of a "brown tumor" associated with secondary hyperparathyroidism causing paraplegia is described. A 69-year-old white woman with chronic renal failure due to hypertension was admitted for back pain, and while she was under observation, paraplegia developed. A complete block was demonstrated by myelography. Computed tomography confirmed a mass at the level of obstruction, and results of biopsy were consistent with "brown tumor." Neurologic symptoms were markedly improved with high-dose corticosteroids and a debulking procedure. This entity is important to recognize because prompt treatment of the hyperparathyroidism or decompression of the tumor mass by surgical means or corticosteroid administration can provide marked improvement in symptoms.

Original languageEnglish (US)
Pages (from-to)545-547
Number of pages3
JournalAmerican Journal of Medicine
Volume81
Issue number3
DOIs
StatePublished - 1986

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Secondary Hyperparathyroidism
Paraplegia
Adrenal Cortex Hormones
Neoplasms
Myelography
Hyperparathyroidism
Back Pain
Neurologic Manifestations
Decompression
Chronic Kidney Failure
Tomography
Observation
Hypertension
Biopsy
Therapeutics

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Brown tumor in secondary hyperparathyroidism causing acute paraplegia. / Bohlman, Mark E.; Kim, Young Choo; Eagan, James; Spees, Everett K.

In: American Journal of Medicine, Vol. 81, No. 3, 1986, p. 545-547.

Research output: Contribution to journalArticle

Bohlman, Mark E. ; Kim, Young Choo ; Eagan, James ; Spees, Everett K. / Brown tumor in secondary hyperparathyroidism causing acute paraplegia. In: American Journal of Medicine. 1986 ; Vol. 81, No. 3. pp. 545-547.
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