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儿童颈椎孤立性幼年黄色肉芽肿:一例报告并文献复习

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

作者信息

Bhaisora Kamlesh Singh, Jaiswal Awadhesh Kumar, Mehrotra Anant, Sahu Rabi Narayan, Srivastava Arun, Jaiswal Sushila, Behari Sanjay

机构信息

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

Department of Pathology, SGPGIMS, Lucknow, Uttar Pradesh, India.

出版信息

Asian J Neurosurg. 2015 Jan-Mar;10(1):57. doi: 10.4103/1793-5482.151525.

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.

摘要

作者报告了一例15岁男性儿童,该患儿表现为颈部疼痛和进行性上升性四肢瘫。磁共振成像显示C5和C6椎体有溶骨性肿块并伴有软组织延伸。采用颈前路手术切除肿块。术后,患者的痉挛和肌力有所改善。肿块的组织病理学检查提示为幼年性黄色肉芽肿(JXG)。在6个月的随访中,患者病情改善,无复发迹象。迄今为止,仅报告了12例脊柱JXG病例,其中仅4例累及颈椎,在这4例中只有2例为儿童年龄组。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b91f/4352645/21c948265486/AJNS-10-57-g001.jpg

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