Rare C-6 vertebral involvement in a child with histiocytosis X: Case report

Firouz Salehpour; R. Shane Tubbs; Sina Zarrintan; Ali Meshkini; Shahram Hadidchi; Hojjat Pourathi; Ramin Azhough; Asharf Fakhrjou; James T. Goodrich; Amir Afshin Khaki

Rare C-6 vertebral involvement in a child with histiocytosis X: Case report

Firouz Salehpour, R. Shane Tubbs, Sina Zarrintan, Ali Meshkini, Shahram Hadidchi, Hojjat Pourathi, Ramin Azhough, Asharf Fakhrjou, James T. Goodrich, Amir Afshin Khaki

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

The authors present a rare case of C-6 vertebral involvement in a 12-year-old boy with histiocytosis X. The patient presented with limitation in movements of neck and upper extremities. Computed tomography (CT) and magnetic resonance (MRI) imaging were used in the preoperative workup. Surgery was performed via an anterior cervical approach along with stabilization using a fibula strut graft and plate fixation. Pathological assessment showed infiltration of Langerhans cells accompanied by a mixture of many eosinophils, giant cells, neutrophils and foamy cells. The patient went on to make a full recovery with complete resolution of his motor weakness. In an extensive review of the literature there are very few cases of cervical histiocytosis X reported. In addition, surgical management of this type of lesion has rarely been discussed.

Original language	English (US)
Pages (from-to)	93-97
Number of pages	5
Journal	Folia Neuropathologica
Volume	45
Issue number	2
State	Published - 2007
Externally published	Yes

Keywords

C-6 body lesion
Eosinophilic granuloma
Histoiocytosis X
Vertebral involvement

ASJC Scopus subject areas

Pathology and Forensic Medicine
Clinical Neurology

Cite this

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title = "Rare C-6 vertebral involvement in a child with histiocytosis X: Case report",

abstract = "The authors present a rare case of C-6 vertebral involvement in a 12-year-old boy with histiocytosis X. The patient presented with limitation in movements of neck and upper extremities. Computed tomography (CT) and magnetic resonance (MRI) imaging were used in the preoperative workup. Surgery was performed via an anterior cervical approach along with stabilization using a fibula strut graft and plate fixation. Pathological assessment showed infiltration of Langerhans cells accompanied by a mixture of many eosinophils, giant cells, neutrophils and foamy cells. The patient went on to make a full recovery with complete resolution of his motor weakness. In an extensive review of the literature there are very few cases of cervical histiocytosis X reported. In addition, surgical management of this type of lesion has rarely been discussed.",

keywords = "C-6 body lesion, Eosinophilic granuloma, Histoiocytosis X, Vertebral involvement",

author = "Firouz Salehpour and Tubbs, {R. Shane} and Sina Zarrintan and Ali Meshkini and Shahram Hadidchi and Hojjat Pourathi and Ramin Azhough and Asharf Fakhrjou and Goodrich, {James T.} and Khaki, {Amir Afshin}",

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T2 - Case report

AU - Salehpour, Firouz

AU - Tubbs, R. Shane

AU - Zarrintan, Sina

AU - Meshkini, Ali

AU - Hadidchi, Shahram

AU - Pourathi, Hojjat

AU - Azhough, Ramin

AU - Fakhrjou, Asharf

AU - Goodrich, James T.

AU - Khaki, Amir Afshin

PY - 2007

Y1 - 2007

N2 - The authors present a rare case of C-6 vertebral involvement in a 12-year-old boy with histiocytosis X. The patient presented with limitation in movements of neck and upper extremities. Computed tomography (CT) and magnetic resonance (MRI) imaging were used in the preoperative workup. Surgery was performed via an anterior cervical approach along with stabilization using a fibula strut graft and plate fixation. Pathological assessment showed infiltration of Langerhans cells accompanied by a mixture of many eosinophils, giant cells, neutrophils and foamy cells. The patient went on to make a full recovery with complete resolution of his motor weakness. In an extensive review of the literature there are very few cases of cervical histiocytosis X reported. In addition, surgical management of this type of lesion has rarely been discussed.

AB - The authors present a rare case of C-6 vertebral involvement in a 12-year-old boy with histiocytosis X. The patient presented with limitation in movements of neck and upper extremities. Computed tomography (CT) and magnetic resonance (MRI) imaging were used in the preoperative workup. Surgery was performed via an anterior cervical approach along with stabilization using a fibula strut graft and plate fixation. Pathological assessment showed infiltration of Langerhans cells accompanied by a mixture of many eosinophils, giant cells, neutrophils and foamy cells. The patient went on to make a full recovery with complete resolution of his motor weakness. In an extensive review of the literature there are very few cases of cervical histiocytosis X reported. In addition, surgical management of this type of lesion has rarely been discussed.

KW - C-6 body lesion

KW - Eosinophilic granuloma

KW - Histoiocytosis X

KW - Vertebral involvement

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Rare C-6 vertebral involvement in a child with histiocytosis X: Case report

Abstract

Keywords

ASJC Scopus subject areas

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