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Spontaneous extradural hemorrhage due to Langerhans cell histiocytosis of the skull in a child: A rare presentation
Eosinophilic granuloma (EG) represents a local form of Langerhans cell histiocytosis that occurs mostly in children. It usually presents with a gradually enlarging painless skull mass, and rarely presents a rapid clinical deterioration. This 7-year-old boy who was diagnosed with EG, based on a magne...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Medknow Publications & Media Pvt Ltd
2016
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4862289/ https://www.ncbi.nlm.nih.gov/pubmed/27195034 http://dx.doi.org/10.4103/1817-1745.181248 |
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author | Bakhaidar, Mohamad G. Alghamdi, Fahad A. Baeesa, Saleh S. |
author_facet | Bakhaidar, Mohamad G. Alghamdi, Fahad A. Baeesa, Saleh S. |
author_sort | Bakhaidar, Mohamad G. |
collection | PubMed |
description | Eosinophilic granuloma (EG) represents a local form of Langerhans cell histiocytosis that occurs mostly in children. It usually presents with a gradually enlarging painless skull mass, and rarely presents a rapid clinical deterioration. This 7-year-old boy who was diagnosed with EG, based on a magnetic resonance imaging scan, after presenting with a painless right parietal swelling of 7-week duration. Three weeks prior his scheduled surgery, he presented to the emergency department with a 2-day history of sudden increased of the subcutaneous swelling associated with a headache, vomiting, and decreased the level of consciousness; there was no history of trauma. Brain computed tomography revealed a right parietal bone defect with large subgaleal and extradural hematoma. He underwent emergent surgical excision of the skull lesion and evacuation of the hematoma. Histopathological examination confirmed the diagnosis of EG. We aim to raise the awareness of physicians of this rare spontaneous hemorrhagic complication of EG and review the literature. |
format | Online Article Text |
id | pubmed-4862289 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-48622892016-05-18 Spontaneous extradural hemorrhage due to Langerhans cell histiocytosis of the skull in a child: A rare presentation Bakhaidar, Mohamad G. Alghamdi, Fahad A. Baeesa, Saleh S. J Pediatr Neurosci Case Report Eosinophilic granuloma (EG) represents a local form of Langerhans cell histiocytosis that occurs mostly in children. It usually presents with a gradually enlarging painless skull mass, and rarely presents a rapid clinical deterioration. This 7-year-old boy who was diagnosed with EG, based on a magnetic resonance imaging scan, after presenting with a painless right parietal swelling of 7-week duration. Three weeks prior his scheduled surgery, he presented to the emergency department with a 2-day history of sudden increased of the subcutaneous swelling associated with a headache, vomiting, and decreased the level of consciousness; there was no history of trauma. Brain computed tomography revealed a right parietal bone defect with large subgaleal and extradural hematoma. He underwent emergent surgical excision of the skull lesion and evacuation of the hematoma. Histopathological examination confirmed the diagnosis of EG. We aim to raise the awareness of physicians of this rare spontaneous hemorrhagic complication of EG and review the literature. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4862289/ /pubmed/27195034 http://dx.doi.org/10.4103/1817-1745.181248 Text en Copyright: © 2016 Journal of Pediatric Neurosciences http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Bakhaidar, Mohamad G. Alghamdi, Fahad A. Baeesa, Saleh S. Spontaneous extradural hemorrhage due to Langerhans cell histiocytosis of the skull in a child: A rare presentation |
title | Spontaneous extradural hemorrhage due to Langerhans cell histiocytosis of the skull in a child: A rare presentation |
title_full | Spontaneous extradural hemorrhage due to Langerhans cell histiocytosis of the skull in a child: A rare presentation |
title_fullStr | Spontaneous extradural hemorrhage due to Langerhans cell histiocytosis of the skull in a child: A rare presentation |
title_full_unstemmed | Spontaneous extradural hemorrhage due to Langerhans cell histiocytosis of the skull in a child: A rare presentation |
title_short | Spontaneous extradural hemorrhage due to Langerhans cell histiocytosis of the skull in a child: A rare presentation |
title_sort | spontaneous extradural hemorrhage due to langerhans cell histiocytosis of the skull in a child: a rare presentation |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4862289/ https://www.ncbi.nlm.nih.gov/pubmed/27195034 http://dx.doi.org/10.4103/1817-1745.181248 |
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