A Case of Central Nervous System Langerhans Cell Histiocytosis: Brain MRI Findings and Clinical Course.
- Author:
Kyu Sik KANG
1
;
Han Joon KIM
;
Kyoung Min LEE
Author Information
1. Department of Neurology, College of Medicine, Seoul National University, Korea. kminlee@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Langerhans cell histiocytosis;
Brain magnetic resonance imaging;
Central nervous system
- MeSH:
Adult;
Basal Ganglia;
Brain Stem;
Brain*;
Central Nervous System*;
Dexamethasone;
Drug Therapy;
Etoposide;
Hemianopsia;
Histiocytosis, Langerhans-Cell*;
Humans;
Magnetic Resonance Imaging*;
Optic Nerve;
Temporal Lobe
- From:Journal of the Korean Neurological Association
2002;20(3):279-282
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 28-year-old man with Langerhans cell histiocytosis of the gastric wall and hypophysial infundibulum had received local radiation therapy to the infundibulum. Eight months later he presented with left inferior temporal quadrantanopsia of the left eye. Brain MRI revealed multiple nodular enhancing lesions involving brainstem, left external capsule, both temporal lobes, prechiasmatic optic nerves and basal ganglia. After dexamethasone chemotherapy there had been partial remission. During tapering dexamethasone the symptom aggravated and then despite etoposide chemotherapy the size and number of lesions increased.
