• Siddharth Sinha, Venkat Iyer, and K Joshi George.
• Department of Neurosurgery, Salford Royal Foundation Trust, Manchester, United Kingdom.
• Surg Neurol Int. 2020 Jan 1; 11: 296.

BackgroundOsteochondromas are commonly occurring benign bone tumors which may be either a solitary lesion or occur due to association with hereditary multiple exostoses (HMEs). There have been several reported cases of spinal osteochondromas, but intracranial lesions are rare.Case DescriptionA 51-year-old male with a history of multiple osteochondromas presented with myelopathy. He had an exostosis arising from the foramen magnum causing compression of the cervical spinal cord that was successfully removed. Genetic testing revealed that he had HMEs.ConclusionOsteochondromas of the skull are extremely rare. However, parts of the foramen magnum ossify in cartilage and can give rise to an osteochondroma. Here, we present a patient with HMEs who developed cervical myelopathy due to an osteochondroma arising from the foramen magnum. Due to the cartilaginous ossification of the foramen magnum, clinicians should be aware that osteochondromas can occur in this location and potentially give rise to cervical myelopathy.Copyright: © 2020 Surgical Neurology International.

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