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Solitary juvenile xanthogranuloma of the cervical spine in a child: A case report and review of literature.

Bhaisora KS, Jaiswal AK, Mehrotra A, Sahu RN, Srivastava A, Jaiswal S, Behari S - Asian J Neurosurg (2015 Jan-Mar)

Bottom Line: Postoperatively, patient showed improvement in spasticity and power.At 6 months follow-up, patient was improving without any evidence of recurrence.Only 12 cases of JXG of spine have been reported till date including only four cases involving the cervical spine and among these four cases only two were of pediatric age group.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, SGPGIMS, Lucknow, Uttar Pradesh, India.

ABSTRACT
The authors present a case of 15 years male child who presented with neck pain and progressive ascending quadriparesis. Magnetic resonance imaging showed lytic mass involving C5 and C6 vertebra with soft tissue extension. Surgical excision of mass done using anterior cervical approach. Postoperatively, patient showed improvement in spasticity and power. Histopathological examination of mass was suggestive of juvenile xanthogranuloma (JXG). At 6 months follow-up, patient was improving without any evidence of recurrence. Only 12 cases of JXG of spine have been reported till date including only four cases involving the cervical spine and among these four cases only two were of pediatric age group.

No MeSH data available.


Related in: MedlinePlus

(a and b) contrast enhanced computer tomography showing lytic lesion involving anterior and posterior element of C5 and C6 vertebra with minimal enhancement
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Figure 1: (a and b) contrast enhanced computer tomography showing lytic lesion involving anterior and posterior element of C5 and C6 vertebra with minimal enhancement

Mentions: Computerised tomography scan of the cervical spine revealed a large osseo-destructive lesion involving body of C5and C6 vertebra which was causing spinal canal compromise [Figure 1a and b]. The lesion was involving surrounding structures with extension into the submuscular plane anteriorly. On magnetic resonance imaging (MRI) evaluation, the mass was isointense on T1 and T2 weighted sequences with minimal contrast enhancement. It was causing distrucation of C5 and C6 vertebra body with compression of thecal sac [Figure 2a–d].


Solitary juvenile xanthogranuloma of the cervical spine in a child: A case report and review of literature.

Bhaisora KS, Jaiswal AK, Mehrotra A, Sahu RN, Srivastava A, Jaiswal S, Behari S - Asian J Neurosurg (2015 Jan-Mar)

(a and b) contrast enhanced computer tomography showing lytic lesion involving anterior and posterior element of C5 and C6 vertebra with minimal enhancement
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4352645&req=5

Figure 1: (a and b) contrast enhanced computer tomography showing lytic lesion involving anterior and posterior element of C5 and C6 vertebra with minimal enhancement
Mentions: Computerised tomography scan of the cervical spine revealed a large osseo-destructive lesion involving body of C5and C6 vertebra which was causing spinal canal compromise [Figure 1a and b]. The lesion was involving surrounding structures with extension into the submuscular plane anteriorly. On magnetic resonance imaging (MRI) evaluation, the mass was isointense on T1 and T2 weighted sequences with minimal contrast enhancement. It was causing distrucation of C5 and C6 vertebra body with compression of thecal sac [Figure 2a–d].

Bottom Line: Postoperatively, patient showed improvement in spasticity and power.At 6 months follow-up, patient was improving without any evidence of recurrence.Only 12 cases of JXG of spine have been reported till date including only four cases involving the cervical spine and among these four cases only two were of pediatric age group.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, SGPGIMS, Lucknow, Uttar Pradesh, India.

ABSTRACT
The authors present a case of 15 years male child who presented with neck pain and progressive ascending quadriparesis. Magnetic resonance imaging showed lytic mass involving C5 and C6 vertebra with soft tissue extension. Surgical excision of mass done using anterior cervical approach. Postoperatively, patient showed improvement in spasticity and power. Histopathological examination of mass was suggestive of juvenile xanthogranuloma (JXG). At 6 months follow-up, patient was improving without any evidence of recurrence. Only 12 cases of JXG of spine have been reported till date including only four cases involving the cervical spine and among these four cases only two were of pediatric age group.

No MeSH data available.


Related in: MedlinePlus