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Langerhans cell histiocytosis causing cervical myelopathy in a child.
MedLine Citation:
PMID:  20617093     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Langerhans cell histiocytosis (LCH), a disorder of the phagocytic system, is a rare condition. Moreover, spinal involvement causing myelopathy is even rare and unusual. Here, we report a case of atypical LCH causing myelopathy, which was subsequently treated by corpectemy and fusion. A 5-year-old boy presented with 3 weeks of severe neck pain and limited neck movement accompanying right arm motor weakness. CT scans revealed destruction of C7 body and magnetic resonance imaging showed a tumoral process at C7 with cord compression. Interbody fusion using cervical mesh packed by autologus iliac bone was performed. Pathological examination confirmed the diagnosis of LCH. After the surgery, the boy recovered from radiating pain and motor weakness of right arm. Despite the rarity of the LCH in the cervical spine, it is necessary to maintain our awareness of this condition. When neurologic deficits are present, operative treatment should be considered.
Authors:
Kun Soo Jang; Youn Young Jung; Seok Won Kim
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Publication Detail:
Type:  Journal Article     Date:  2010-06-30
Journal Detail:
Title:  Journal of Korean Neurosurgical Society     Volume:  47     ISSN:  1598-7876     ISO Abbreviation:  J Korean Neurosurg Soc     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-07-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101467054     Medline TA:  J Korean Neurosurg Soc     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  458-60     Citation Subset:  -    
Affiliation:
Department of Neurosurgery, College of Medicine, Chosun University, Gwangju, Korea.
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