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Pediatric Radiology
Published in: Pediatric Radiology 3/2004

01-03-2004 | Case Report

Langerhans’ cell histiocytosis of the clivus: case report and literature review

Authors: Maja E. Hurley, Anne O’Meara, Esmond Fogarty, Roisin Hayes

Published in: Pediatric Radiology | Issue 3/2004

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Abstract

This report describes a 5-year-old girl with Langerhans’ cell histiocytosis (LCH) of the clivus. To date only five patients, including our patient, have been described with LCH at this site. Our patient differs from those previously reported by her atypical clinical presentation with torticollis, but without a sixth nerve palsy. In addition, she is the first patient to present with concomitant disease elsewhere at the time of diagnosis, i.e. both femoral necks and left proximal humerus. Our patient thus presents unique features and underlines the importance of including LCH in the differential diagnosis of erosive lesions of the clivus.
Literature
1.
Kilborn TN, The J, Goodman TR (2003) Paediatric manifestations of Langerhans cell histiocytosis: a review of the clinical and radiological findings. Clin Radiol 58:269–278CrossRefPubMed
2.
Brisman JL, Feldstein NA, Tarbell NJ, et al (1997) Eosinophilic granuloma of the clivus: case report, follow-up of two previously reported cases, and review of the literature on cranial base eosinophilic granuloma. Neurosurgery 41:273–278PubMed
3.
Rosenfeldt LV, Wallace D, Klug GL, et al (1992) Transnasal stereotactic biopsy of a clivus tumor: technical note. J Neurosurg 76:878–879PubMed
4.
Sampson JH, Rossitch E Jr, Young JN, et al (1992) Solitary eosinophilic granuloma invading the clivus of an adult: case report. Neurosurgery 31:755–758PubMed
5.
Lederman CR, Lederman ME (1998) Unifocal Langerhans’ cell histiocytosis in the clivus of a child with abducens palsy and diplopia. J AAPOS 2:378–379PubMed
Metadata
Title
Langerhans’ cell histiocytosis of the clivus: case report and literature review
Authors
Maja E. Hurley
Anne O’Meara
Esmond Fogarty
Roisin Hayes
Publication date
01-03-2004
Publisher
Springer-Verlag
Published in
Pediatric Radiology / Issue 3/2004
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-003-1065-8

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