Primary Eosinophilic Granuloma of Adult Cervical Spine Presenting as a Radiculomyelopathy.
10.3340/jkns.2013.54.1.54
- Author:
Woo Seok BANG
1
;
Kyoung Tae KIM
;
Dae Chul CHO
;
Joo Kyung SUNG
Author Information
1. Department of Neurosurgery, Kyungpook National University Hospital, Daegu, Korea. nskimkt7@gmail.com
- Publication Type:Case Report
- Keywords:
Eosinophilic granuloma;
Adult cervical tumor;
Surgical approach
- MeSH:
Adult;
Arm;
Eosinophilic Granuloma;
Follow-Up Studies;
Hand Strength;
Humans;
Magnetic Resonance Imaging;
Paresthesia;
Spine;
Transplants
- From:Journal of Korean Neurosurgical Society
2013;54(1):54-57
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of 29-year-old man diagnosed as a primary eosinophilic granuloma (EG) lesion of the seventh cervical vertebra. He had paresthesia on both arms, and grasping weakness for 10 days. Cervical magnetic resonance image (MRI) showed an enhancing mass with ventral epidural bulging and cord compression on the seventh cervical vertebra. Additionally, we performed spine series MRI, bone scan and positive emission tomography for confirmation of other bone lesions. These studies showed no other pathological lesions. He underwent anterior cervical corpectomy of the seventh cervical vertebra and plate fixation with iliac bone graft. After surgical management, neurological symptoms were much improved. Histopathologic evaluation confirmed the diagnosis of EG. There was no evidence of tumor recurrence at 12 months postoperative cervical MRI follow-up. We reported symptomatic primary EG of cervical spine successfully treated with surgical resection.
