Solitary Xanthogranuloma of the Upper Cervical Spine in a Male Adult.
10.3340/jkns.2012.51.1.54
- Author:
Sun Joo LEE
1
;
Dae Jean JO
;
Seung Hwan LEE
;
Sung Min KIM
Author Information
1. Department Neurosurgery, Kyung Hee University Hospital at Gangdong, Seoul, Korea. apuzzo@hanmail.net
- Publication Type:Case Report
- Keywords:
Juvenile xanthogranuloma;
Xanthogranuloma;
Cervical vertebrae;
Brown-Sequard syndrome
- MeSH:
Adult;
Axis, Cervical Vertebra;
Brown-Sequard Syndrome;
Cervical Vertebrae;
Diagnosis, Differential;
Female;
Humans;
Hypesthesia;
Laminectomy;
Magnetic Resonance Spectroscopy;
Male;
Paresis;
Spinal Canal;
Spine;
Xanthogranuloma, Juvenile
- From:Journal of Korean Neurosurgical Society
2012;51(1):54-58
- CountryRepublic of Korea
- Language:English
-
Abstract:
We present the rare case of solitary xanthogranuloma in the upper cervical column mimicking a Brown-Sequard syndrome. A 29-year-old man complained with right hemiparesis and left hypoesthesia after a car accident. Computed tomography and magnetic resonance images revealed a lobulated homogenously well-enhancing mass in between posterior arch of the atlas (C1) and spinous process of the axis (C2) resulting in a marked spinal canal narrowing with cortical erosions. The patient was managed by complete resection of the tumor with partial laminectomy with lower half of C1 posterior arch and upper half of C2 spinous process. The authors advise complete removal of the xanthogranuloma and consideration as a differential diagnosis of lesions among upper cervical lesions.
