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Aneurysmal bone cyst of the temporal bone presenting with reversible vestibular impairment

Published online by Cambridge University Press:  12 September 2022

Y Liu Open the ORCID record for Y Liu [Opens in a new window] ,
C Wang ,
J Hu  and
Z Han
Y Liu
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, Huadong Hospital of Fudan University, Shanghai, China
C Wang
Affiliation:
ENT Department, People's Hospital of Zhangye, Hexi University, Zhangye, China
J Hu
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, Huadong Hospital of Fudan University, Shanghai, China
Z Han*
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, Huadong Hospital of Fudan University, Shanghai, China
*
Author for correspondence: Dr Zhao Han, No. 221 West Yan'an Road, Jing'an District, Shanghai, China, 200040 E-mail: sfhanzao@163.com
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Abstract

Background

Aneurysmal bone cysts are expansile benign lesions associated with compressive destruction and obscure pathogenesis. The most common sites of temporal bone involvement are the petrous apex, squamous portions and mastoid.

Case report

This paper reports a right temporal aneurysmal bone cyst in a 51-year-old man who presented clinically with facial palsy, and hearing loss and impaired vestibular function. Magnetic resonance imaging and computed tomography findings were consistent with a diagnosis of aneurysmal bone cyst. Inter-operative findings showed that the lesion had caused compressive damage to the internal auditory canal. Following surgical excision, the patient experienced vertigo, indicating recovery of vestibular function. Follow-up imaging revealed complete resection without clinical recurrence.

Conclusion

To our knowledge, this is the first report of aneurysmal bone cyst invasion of the inner auditory canal. Our clinical experience indicates that vestibular nerve damage recovery is relatively uncommon. This case report will hopefully inform future studies.

Keywords

Aneurysmal Bone CystsTemporal BoneVertigo

Information

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 4 , April 2023 , pp. 462 - 466
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

*

Joint first authors

Dr Z Han takes responsibility for the integrity of the content of the paper

References

Mankin, HJ, Hornicek, FJ, Ortiz-Cruz, E, Villafuerte, J, Gebhardt, MC. Aneurysmal bone cyst: a review of 150 patients. J Clin Oncol 2005;23:6756–62CrossRefGoogle ScholarPubMed
Jaffe, HL, Lichtenstein, L. Solitary unicameral bone cyst with emphasis on the roentgen picture, the pathologic appearance and the pathogenesis. Arch Surg 1942;44:1004–25CrossRefGoogle Scholar
Edling, NP. Is the aneurysmal bone cyst a true pathologic entity? Cancer 1965;18:1127–303.0.CO;2-1>CrossRefGoogle ScholarPubMed
Lichtenstein, L. Aneurysmal bone cyst; observations on fifty cases. J Bone Joint Surg Am 1957;39–A:873–82CrossRefGoogle ScholarPubMed
Wong, K, Chantharasamee, J, Nelson, S, Eckardt, MA, Motamedi, K, Hornicek, FJ et al. Aggressive osteoblastoma with a secondary aneurysmal bone cyst treated with denosumab. Rare Tumors 2021;13:20363613211034710CrossRefGoogle ScholarPubMed
Gutierrez, LB, Link, TM, Horvai, AE, Joseph, GB, O'Donnell, RJ, Motamedi, D. Secondary aneurysmal bone cysts and associated primary lesions: imaging features of 49 cases. Clin Imaging 2020;62:23–32CrossRefGoogle ScholarPubMed
Blanchard, M, Abergel, A, Williams, MT, Ayache, D. Aneurysmal bone cyst within fibrous dysplasia causing labyrinthine fistula. Otol Neurotol 2011;32:e11CrossRefGoogle ScholarPubMed
Kitamura, K, Takahashi, K, Kakoi, H, Sugimoto, T, Silverstein, H. A morphological and morphometric study of the peripheral process of the human vestibular nerve following posterior cranial fossa neurectomy. J Laryngol Otol 1999;113:967–72CrossRefGoogle ScholarPubMed
Saez, N, Sharma, GK, Barnes, CH, Lu, Y, Hsu, FP, Huoh, KC et al. Solid variant of aneurysmal bone cyst of the temporal bone. Ann Otol Rhinol Laryngol 2018;127:285–90CrossRefGoogle ScholarPubMed
Wang, B, Cao, P, Liu, A. Aneurysmal bone cyst of the mastoid bone: one case report. J Clin Otolaryngol Head Neck Surg 2015;29:1312–14Google ScholarPubMed
Kim, BJ, Lee, EJ, Chang, HW, Jung, HR, Kim, E, Sohn, SI et al. Aneurysmal bone cyst in the temporal bone and complete resection with preoperative embolization. Interv Neuroradiol 2014;20:609–13CrossRefGoogle ScholarPubMed
Kletke, SN, Popovic, S, Algird, A, Alobaid, A, Reddy, KK. Aneurysmal bone cyst of the temporal bone presenting with headache and partial facial palsy. J Neurol Surg Rep 2015;76:e18–22Google ScholarPubMed
Sharma, M, Velho, V, Kharosekar, H. Primary aneurysmal bone cyst of the petrous temporal bone: a case report and review of literature. Asian J Neurosurg 2016;11:444Google ScholarPubMed
Sayama, CM, Macdonald, JD. Aneurysmal bone cyst of the petrous bone: case presentation and review of the literature. Pediatr Neurosurg 2010;46:308–12CrossRefGoogle ScholarPubMed
Kumar, S, Retnam, TM, Krishnamoorthy, T, Parameswaran, S, Nair, S, Bhattacharya, RN. Intracranial aneurysmal bone cyst manifesting as a cerebellar mass. Neurol India 2003;51:121–3Google ScholarPubMed
Hashemi, SM, Heidarpour, M, Eshaghian, A, Ansari, P, Hashemi, MS, Yaghoobi, M. A rare case of aneurysmal bone cyst in the paranasal sinus. Iran J Otorhinolaryngol 2015;27:395–9Google ScholarPubMed
Gotecha, S, Punia, P, Chugh, A, Patil, A, Kashyap, D, Raghu, V et al. Rare case of an aneurysmal bone cyst of the temporal bone. Asian J Neurosurg 2020;15:699–702Google ScholarPubMed
Unadkat, S, Adams, A, Richards, P, Bajaj, Y. Paediatric aneurysmal bone cyst: not as easy as ABC. J Surg Case Rep 2018;2018:rjy008CrossRefGoogle Scholar
Kumar, P, Singh, S, Phadke, RV, Diwakar, H, Agarawal, T, Jain, M et al. Role of radiotherapy in a recurrent aneurysmal bone cyst of the temporal bone: case report. Neurosurgery 2006;58:E584CrossRefGoogle Scholar
Sodhi, HB, Salunke, P, Agrawal, P, Gupta, K. Temporal aneurysmal bone cyst: cost-effective method to achieve gross total resection. Acta Neurochir (Wien) 2016;158:1633–5CrossRefGoogle ScholarPubMed