{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,4]],"date-time":"2024-09-04T23:56:34Z","timestamp":1725494194432},"reference-count":10,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Brown tumor (Osteoclastoma) is a rare benign, focal, lytic bone lesion most commonly attributed to a parathyroid adenoma; it occurs in approximately 5% of patients with primary hyperparathyroidism, and 13% of patients with secondary hyperparathyroidism. Most tumors are located in the mandible, pelvis, ribs, and large bones; only rarely is it found in the axial spine.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 37-year-old male with primary hyperparathyroidism presented with an MR-documented T4 and T5 brown tumor (Osteitis Fibrosa Cystica) resulting in an acute paraparesis. The patient successfully underwent excisional biopsy of an expansile, enhancing, bony destructive lesion at the T4-5 level. Subsequently, he required subtotal excision of a left upper parathyroid tumor.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>Patient with primary hyperparathyroidism may acutely present with paraparesis attributed to brown tumors of the spine warranting emergent operative decompression.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_653_2020","type":"journal-article","created":{"date-parts":[[2020,10,21]],"date-time":"2020-10-21T06:36:46Z","timestamp":1603262206000},"page":"355","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Brown tumor due to primary hyperparathyroidism resulting in acute paraparesis: Case report and literature review"],"prefix":"10.25259","volume":"11","author":[{"given":"Ahmed Taha Elsayed","family":"Shaaban","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Hamad Medical Corporation, Hamad General Hospital, Doha, Qatar."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mostafa","family":"Ibrahem","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hamad Medical Corporation, Hamad General Hospital, Doha, Qatar."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Saleh","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hamad Medical Corporation, Hamad General Hospital, Doha, Qatar."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulrazzaq","family":"Haider","sequence":"additional","affiliation":[{"name":"Department of Pathology, Hamad Medical Corporation, Hamad General Hospital, Doha, Qatar."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulnasser","family":"Alyafai","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hamad Medical Corporation, Hamad General Hospital, Doha, 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hyperparathyroidism","volume":"137","author":"Hammou","year":"2020","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_653_2020\/ref-4","doi-asserted-by":"crossref","first-page":"e15007","DOI":"10.1097\/MD.0000000000015007","article-title":"Management of brown tumor of spine with primary hyperparathyroidism: A case report and literature review","volume":"98","author":"Hu","year":"2019","journal-title":"Medicine (Baltimore)"},{"key":"10.25259\/SNI_653_2020\/ref-5","first-page":"222","article-title":"Natural history and surgical treatment of brown tumor lesions at various sites in refractory primary hyperparathyroidism","volume":"12","author":"Khalil","year":"2007","journal-title":"Eur J Med Res"},{"key":"10.25259\/SNI_653_2020\/ref-6","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1002\/dc.20974","article-title":"Fine-needle aspiration of brown tumor of bone: Cytologic features with radiologic and histologic correlation","volume":"37","author":"Pavlovic","year":"2009","journal-title":"Diagn Cytopathol"},{"key":"10.25259\/SNI_653_2020\/ref-7","doi-asserted-by":"crossref","first-page":"389","DOI":"10.3340\/jkns.2015.58.4.389","article-title":"Brown tumor of the thoracic spine: First manifestation of primary hyperparathyroidism","volume":"58","author":"Sonmez","year":"2015","journal-title":"J Korean Neurosurg Soc"},{"key":"10.25259\/SNI_653_2020\/ref-8","doi-asserted-by":"crossref","first-page":"40","DOI":"10.4103\/1793-5482.131074","article-title":"Brown tumor as an unusual but preventable cause of spinal cord compression: Case report and review of the literature","volume":"9","author":"Tayfun","year":"2014","journal-title":"Asian J Neurosurg"},{"key":"10.25259\/SNI_653_2020\/ref-9","doi-asserted-by":"crossref","first-page":"1040","DOI":"10.4103\/2230-8210.103037","article-title":"Primary hyperparathyroidism having multiple brown tumors mimicking malignancy","volume":"16","author":"Ullah","year":"2012","journal-title":"Indian J Endocrinol Metab"},{"key":"10.25259\/SNI_653_2020\/ref-10","doi-asserted-by":"crossref","first-page":"1230","DOI":"10.1016\/j.jocn.2008.11.009","article-title":"Brown tumour of the spine in a renal transplant patient","volume":"16","author":"Zaheer","year":"2009","journal-title":"J Clin Neurosci"}],"container-title":["Surgical Neurology 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