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The outcome of eosinophilic granuloma involving unilateral atlantoaxial joint: A case report and literature review
RATIONALE: Solitary eosinophilic granuloma (EG), the most benign, common form of Langerhans cell histiocytosis, has a self-limiting process and is associated with a good prognosis. Immobilization is recommended as the first treatment strategy for solitary EG, although the treatment protocols are sti...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5484214/ https://www.ncbi.nlm.nih.gov/pubmed/28640106 http://dx.doi.org/10.1097/MD.0000000000007197 |
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author | Song, Yu Geng, Wen Guo, Tao Gao, Yong Zhang, Yukun Li, Shuai Wang, Kun Tu, Ji Yang, Cao |
author_facet | Song, Yu Geng, Wen Guo, Tao Gao, Yong Zhang, Yukun Li, Shuai Wang, Kun Tu, Ji Yang, Cao |
author_sort | Song, Yu |
collection | PubMed |
description | RATIONALE: Solitary eosinophilic granuloma (EG), the most benign, common form of Langerhans cell histiocytosis, has a self-limiting process and is associated with a good prognosis. Immobilization is recommended as the first treatment strategy for solitary EG, although the treatment protocols are still controversial. Radiotherapy and surgery are secondary treatment choices. Lesions of the upper cervical spine react differently to treatment because of their specific anatomical and motor features. PATIENT CONCERNS: We discuss the case of a 29-year-old man with axis EG who underwent immobilization, radiotherapy, and finally surgery. DIAGNOSIS: Eosinophilic granuloma (EG). INTERVENTIONS: An initial conservative protocol, including immobilization with a collar and radiotherapy, effectively relieved his neck pain, whereas torticollis secondary to atlantoaxial subluxation was not improved. Therefore, he underwent tumor resection through the anterior approach and spinal reconstruction, fixation, and fusion through the posterior approach. OUTCOMES: The deformity was well corrected and follow-up was satisfactory. LESSONS: Upon review of the literature, we found that EG lesions affecting the axis have more risk factors for instability or deformity, and they have particular anatomical and motor characteristics; thus, they require more consideration and attention in terms of treatment, prognosis, and follow-up. |
format | Online Article Text |
id | pubmed-5484214 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-54842142017-07-06 The outcome of eosinophilic granuloma involving unilateral atlantoaxial joint: A case report and literature review Song, Yu Geng, Wen Guo, Tao Gao, Yong Zhang, Yukun Li, Shuai Wang, Kun Tu, Ji Yang, Cao Medicine (Baltimore) 7100 RATIONALE: Solitary eosinophilic granuloma (EG), the most benign, common form of Langerhans cell histiocytosis, has a self-limiting process and is associated with a good prognosis. Immobilization is recommended as the first treatment strategy for solitary EG, although the treatment protocols are still controversial. Radiotherapy and surgery are secondary treatment choices. Lesions of the upper cervical spine react differently to treatment because of their specific anatomical and motor features. PATIENT CONCERNS: We discuss the case of a 29-year-old man with axis EG who underwent immobilization, radiotherapy, and finally surgery. DIAGNOSIS: Eosinophilic granuloma (EG). INTERVENTIONS: An initial conservative protocol, including immobilization with a collar and radiotherapy, effectively relieved his neck pain, whereas torticollis secondary to atlantoaxial subluxation was not improved. Therefore, he underwent tumor resection through the anterior approach and spinal reconstruction, fixation, and fusion through the posterior approach. OUTCOMES: The deformity was well corrected and follow-up was satisfactory. LESSONS: Upon review of the literature, we found that EG lesions affecting the axis have more risk factors for instability or deformity, and they have particular anatomical and motor characteristics; thus, they require more consideration and attention in terms of treatment, prognosis, and follow-up. Wolters Kluwer Health 2017-06-23 /pmc/articles/PMC5484214/ /pubmed/28640106 http://dx.doi.org/10.1097/MD.0000000000007197 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0 |
spellingShingle | 7100 Song, Yu Geng, Wen Guo, Tao Gao, Yong Zhang, Yukun Li, Shuai Wang, Kun Tu, Ji Yang, Cao The outcome of eosinophilic granuloma involving unilateral atlantoaxial joint: A case report and literature review |
title | The outcome of eosinophilic granuloma involving unilateral atlantoaxial joint: A case report and literature review |
title_full | The outcome of eosinophilic granuloma involving unilateral atlantoaxial joint: A case report and literature review |
title_fullStr | The outcome of eosinophilic granuloma involving unilateral atlantoaxial joint: A case report and literature review |
title_full_unstemmed | The outcome of eosinophilic granuloma involving unilateral atlantoaxial joint: A case report and literature review |
title_short | The outcome of eosinophilic granuloma involving unilateral atlantoaxial joint: A case report and literature review |
title_sort | outcome of eosinophilic granuloma involving unilateral atlantoaxial joint: a case report and literature review |
topic | 7100 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5484214/ https://www.ncbi.nlm.nih.gov/pubmed/28640106 http://dx.doi.org/10.1097/MD.0000000000007197 |
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