Spinal Cord Tumor Presenting as Secondary Torticollis: A Case Report
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
We report a case of 6yearold boy who presented with a 1month history of neck pain, rightsided torticollis, with no neurological deficit on physical examination. Computed tomography (CT) and magnetic resonance imaging (MRI) of the brain and spine revealed an expansive intramedullary tumor in the cervical spine. Histopathologic examination of the biopsy specimen revealed primary lowgrade glioma. This highlights the importance of physician’s vigilance when diagnosing patients with common chief complaints such as torticollis and neck pain in order to avoid missing possible severe causes and to ensure patient management and prognosis.
Abstract
We report a case of 6yearold boy who presented with a 1month history of neck pain, rightsided torticollis, with no neurological deficit on physical examination. Computed tomography (CT) and magnetic resonance imaging (MRI) of the brain and spine revealed an expansive intramedullary tumor in the cervical spine. Histopathologic examination of the biopsy specimen revealed primary lowgrade glioma. This highlights the importance of physician’s vigilance when diagnosing patients with common chief complaints such as torticollis and neck pain in order to avoid missing possible severe causes and to ensure patient management and prognosis.
참고문헌 (13)
- Jankovic J, "Cervical dystonia : clinical findings and associated movement disorders", Neurology, 41, pp.1088~1091 (1991)
- Camargo CH, "Cervical dystonia : clinical and therapeutic features in 85 patients", Arq Neuropsiquiatr, 66, pp.15~21 (2008)
- Per H, "Different etiologies of acquired torticollis in childhood", Childs Nerv Syst, 30, pp.431~440 (2014)
- Fafara-Les A, "Torticollis as a first sign of posterior fossa and cervical spinal cord tumors in children", Childs Nerv Syst, 30, pp.425~430 (2014)
- Natarajan A, "Not all cases of neck pain with", without torticollis are benign : unusual presentations in a paediatric accident and emergency department, 2005, pp.22, 646~649
- Aydin R, "A very rare cause of neck pain : primary Ewing sarcoma of the axis", Pediatr Emerg Care, 29, pp.1197~1200 (2013)
- Cafarotti A, "A 6-month-old boy with uncontrollable dystonic posture of the neck. Sandifer syndrome", Pediatr Ann, 43, pp.17~19 (2014)
- Haque S, "Imaging of torticollis in children", Radiographics, 32, pp.557~571 (2012)
- Gerard CS, "Surgical management of lowgrade gliomas", Semin Oncol, 41, pp.458~467 (2014)
- Shields LB, "Management of low-grade gliomas : a review of patient-perceived quality of life and neurocognitive outcome", World Neurosurg, 82, pp.299~309 (2014)
- Wilne S, "Presentation of childhood CNS tumours : a systematic review and meta-analysis", Lancet Oncol, 8, pp.685~ (2007)
- Bergthold G, "Pediatric low-grade gliomas : how modern biology reshapes the clinical field", Biochim Biophys Acta, 1845, pp.294~307 (2014)
- Bandopadhayay P, "Long-term outcome of 4, 040 children diagnosed with pediatric low-grade gliomas : an analysis of the Surveillance Epidemiology and End Results(SEER)database", Pediatr Blood Cancer, 61, pp.1173~1179 (2014)