Síndrome del cóndilo occipital como primera manifestación de mieloma múltiple. Reporte de caso y revisión de la literatura

Abstract

The occipital condyle syndrome presents with unilateral occipital pain associated with paresis of the ipsilateral XII cranial nerve. It is uncommon and is usually associated with metastatic tumor lesions, most frequently prostate and breast cancer. In this article we present the case of a previously healthy female patient with classic symptoms of left occipital condyle syndrome. Computed tomography and magnetic resonance imaging studies documented a lytic lesion that compromised the left occipital condyle. Due to the presence of signs of craneocervical instability and the absence of histopathological diagnosis, we decided to take the patient to resection of the lesion and occipitocervical arthrodesis. We used a far-lateral approach to the left occipital condyle. Histopathological study of the lesion confirmed bone infiltration by multiple myeloma.