Aneurysmal bone cysts (ABC) were originally described by Jaffe and Lichtenstein [Arch Surg 1942;44:1004–1025] in 1942 as nonneoplastic benign lesions with obscure pathogenesis. ABC occurring in the temporal bone are uncommon. Those arising from the petrous portion of the temporal bone are exceedingly rare. We report a right petrous ABC in a 16-year-old girl who presented clinically with hearing loss, facial weakness, and facial numbness and tingling. Her symptoms were preceded by a coincidental traumatic concussion 4 months earlier. Preoperative magnetic resonance imaging and computed tomography findings were both consistent with an ABC, although the lesion was noted to be in a very unusual location. Surgical resection was performed with adjuvant preoperative embolization. The patient recovered complete facial sensation and movement, and follow-up imaging documented complete resection.

Keywords:
Aneurysmal bone cyst, Petrous bone
1.
Jaffe H, Lichtenstein L: Solitary unicameral bone cyst: with emphasis on the roentgen picture, the pathologic appearance, and the pathogenesis. Arch Surg 1942;44:1004–1025.
2.
Lackmann GM, Tollner U: Aneurysmal cyst of the petrosal bone. Arch Dis Child 1993;69:241–242.
3.
Ameli NO, Abbassioun K, Azod A, Saleh H: Aneurysmal bone cyst of the skull. Can J Neurol Sci 1984;11:466–471.
4.
Buxi TB, Sud S, Vohra R, Sud A, Singh S: Aneurysmal bone cyst of the temporal bone. Australas Radiol 2004;48:251–255.
5.
Cakirer S, Basak M, Celebi I, Kabukcuoglu F, Erdem Y: Aneurysmal bone cyst of the temporal bone. Curr Probl Diagn Radiol 2003;32:169–175.
6.
Chidambaram B, Santosh V, Balasubramaniam V: Aneurysmal bone cyst of the temporal bone. Childs Nerv Syst 2001;17:411–414.
7.
Ito H, Kizu O, Yamada K, Nishimura T: Secondary aneurysmal bone cyst derived from a giant-cell tumour of the skull base. Neuroradiology 2003;45:616–617.
8.
Keuskamp PA, Horoupian DS, Fein JM: Aneurysmal bone cyst of the temporal bone presenting as a spontaneous intracerebral hemorrhage: case report. Neurosurgery 1980;7:166–170.
9.
Kowalik S, Janicki W: Aneurysmal temporal bone cyst (in Polish). Otolaryngol Pol 1999;53:327–330.
10.
Kumar P, Singh S, Phadke RV, Diwakar H, Agarawal T, Jain M, Datta NR: Role of radiotherapy in a recurrent aneurysmal bone cyst of the temporal bone: case report. Neurosurgery 2006;58:E584, discussion E584.
11.
Legent F, Lenne Y, Gayet M, de Kersaint-Gilly A, Beauvillain C, Desgraviers B, Valton JM: Aneurysmal cyst of the petrous bone: apropos of a case (in French). Ann Otolaryngol Chir Cervicofac 1988;105:591–596.
12.
Lippman CR, Jallo GI, Feghali JG, Jimenez E, Epstein F: Aneurysmal bone cyst of the temporal bone. Pediatr Neurosurg 1999;31:219–223.
13.
Mima S, Taguchi Y, Sekino H, Inomata I: Case of aneurysmal bone cyst of the skull (in Japanese). No Shinkei Geka 1984;12:825–831.
14.
Paige ML, Chiu YT Jr, Christ M: Aneurysmal bone cyst of the temporal bone. Neuroradiology 1979;18:161–164.
15.
Park AH, Phillips J, Forte V: Aneurysmal bone cyst of the temporal bone. Otolaryngol Head Neck Surg 1999;120:606–610.
16.
Pellet W, Dufour H, Cannoni M, Dodero JC, Malca S, Choux R: Aneurysmal temporal bone cyst: apropos of 2 new cases (in French). Neurochirurgie 1991;37:160–172.
17.
Purohit A, Chopra S, Sinha VD, Dharker SR: Aneurysmal bone cyst of the temporal bone: a case report. Neurol India 2002;50:511–513.
18.
Rustiadji, Chunadi E, Koosnadi S, Kozlowski K: Post-traumatic aneurysmal bone cyst of the temporal bone. Radiol Med 1989;78:386–387.
19.
Sabatini PR, Horenstein MG, Oliveri CV, Gacek RR: Aneurysmal bone cyst of the temporal bone associated with reversible hemifacial paralysis. Am J Otolaryngol 2005;26:261–264.
20.
Sawin PD, Muhonen MG, Sato Y, Smith RJ: Aneurysmal bone cyst of the temporal bone presenting as hearing loss in a child. Int J Pediatr Otorhinolaryngol 1995;33:275–284.
21.
Shah GV, Doctor MR, Shah PS: Aneurysmal bone cyst of the temporal bone: MR findings. AJNR Am J Neuroradiol 1995;16:763–766.
22.
Shimizu T, Ukai K, Hayashi T, Imanishi Y, Sakakura Y: Aneurysmal bone cyst of the temporal bone: magnetic resonance imaging as a valuable tool for preoperative diagnosis. Am J Otolaryngol 1998;19:379–382.
23.
Tuna H, Karatas A, Yilmaz ER, Yagmurlu B, Erekul S: Aneurysmal bone cyst of the temporal bone: case report. Surg Neurol 2003;60:571–574.
24.
Wachter W, Adler CP: Aneurysmal bone cyst of the temporal bone (in German). Laryngol Rhinol Otol (Stuttg) 1984;63:622–625.
25.
Muzumdar DP, Goel A, Mistry R, Gujral S, Fattepurkar S: Postoperative cerebellar herniation in a large intrapetrous aneurysmal bone cyst. J Clin Neurosci 2004;11:534–537.
26.
Leithner A, Lang S, Windhager R, Leithner K, Karlic H, Kotz R, Haas OA: Expression of insulin-like growth factor-I (IGF-I) in aneurysmal bone cyst. Mod Pathol 2001;14:1100–1104.
27.
de Silva MV, Raby N, Reid R: Fibromyxoid areas and immature osteoid are associated with recurrence of primary aneurysmal bone cysts. Histopathology 2003;43:180–188.
28.
Vergel de Dios AM, Bond JR, Shives TC, McLeod RA, Unni KK: Aneurysmal bone cyst: a clinicopathologic study of 238 cases. Cancer 1992;69:2921–2931.
29.
Mendenhall WM, Zlotecki RA, Gibbs CP, Reith JD, Scarborough MT, Mendenhall NP: Aneurysmal bone cyst. Am J Clin Oncol 2006;29:311–315.
30.
Haddad GF, Hambali F, Mufarrij A, Nassar A, Haddad FS: Concomitant fibrous dysplasia and aneurysmal bone cyst of the skull base: case report and review of the literature. Pediatr Neurosurg 1998;28:147–153.
31.
dal Cin P, Kozakewich HP, Goumnerova L, Mankin HJ, Rosenberg AE, Fletcher JA: Variant translocations involving 16q22 and 17p13 in solid variant and extraosseous forms of aneurysmal bone cyst. Genes Chromosomes Cancer 2000;28:233–234.
32.
Panoutsakopoulos G, Pandis N, Kyriazoglou I, Gustafson P, Mertens F, Mandahl N: Recurrent t(16;17)(q22;p13) in aneurysmal bone cysts. Genes Chromosomes Cancer 1999;26:265–266.
33.
Kumar S, Retnam TM, Krishnamoorthy T, Parameswaran S, Nair S, Bhattacharya RN, Radhakrishanan VV: Intracranial aneurysmal bone cyst manifesting as a cerebellar mass. Neurol India 2003;51:121–123.
34.
Luccarelli G, Fornari M, Savoiardo M: Angiography and computerized tomography in the diagnosis of aneurysmal bone cyst of the skull: case report. J Neurosurg 1980;53:113–116.
35.
Clavier E, Thiebot J, Godlewski J, Creissard P, Benozio M: Intracranial aneurysmal bone cyst: a rare CT appearance. Neuroradiology 1988;30:269–271.
36.
Nadkarni T, Goel A, Desai K, Aiyer P, Shenoy A: Massive aneurysmal bone cyst of the anterior cranial fossa floor: case report. Neurol Med Chir (Tokyo) 2001;41:615–619.
37.
Dahlin DC, McLeod RA: Aneurysmal bone cyst and other nonneoplastic conditions. Skeletal Radiol 1982;8:243–250.
38.
Feigenberg SJ, Marcus RB Jr, Zlotecki RA, Scarborough MT, Berrey BH, Enneking WF: Megavoltage radiotherapy for aneurysmal bone cysts. Int J Radiat Oncol Biol Phys 2001;49:1243–1247.
© 2010 S. Karger AG, Basel
2010
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
You do not currently have access to this content.