PMC5467353_01
(a), (b), and (c) CT Lesion with cystic appearance, defined borders compromising two-thirds of body C2, in close proximity to the right vertebral artery. (d) MRI of the lesion. (e) Axial sequence of the preoperative MRI.
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fig1
A complementary MRI performed as part of in-hospital management showed an incidental finding of a cystic lesion in the vertebral body of C2 (Figure 1).
(a) The first microphotograph shows in the inferior part coated by a thin membrane and abundant eosinophilic deposits, hemorrhagic material hematoxylin and eosin, magnification 20x. (b) 40x magnification of the microphotograph.
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fig2
Intraoperatively a cystic lesion with fibrotic and nodular material was evidenced; later histologic examination ruled out giant cell tumor and aneurismatic bone cyst (Figure 2).
(a), (b) Postoperative CT scan that shows no recurrence and adequate integration of the graft. (c) An image corresponding to postoperative sagittal CT.
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fig3
At 6 and 12 months, the patient presented no symptoms and the postoperative CT scan showed adequate integration of the graft as shown in Figure 3.