성인에서 흉추 신경뿌리병으로 발현한 흉추의 랑게르한스세포조직구증
Langerhans Cell Histiocytosis of the Thoracic Spine in an Adult Presenting as Thoracic Radiculopathy
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
A 35-year-old man complained of right truncal pain around T7-8 dermatomal distribution and on examination, T7-8 spinal tenderness was observed. Magnetic resonance imaging showed osteolytic mass in T8 vertebral body without structural lesions involving spinal nerve roots. Dermatomal somatosensory evoked potentials (DSEP) were helpful in diagnosis with thoracic radiculopathy. Finally, Langerhans cell histiocytosis was confirmed in bone biopsy. Thoracic radiculopathy can be caused by various etiologies including bone tumor and DSEP is useful supplementary tool for diagnosing thoracic radiculopathy.
Abstract
A 35-year-old man complained of right truncal pain around T7-8 dermatomal distribution and on examination, T7-8 spinal tenderness was observed. Magnetic resonance imaging showed osteolytic mass in T8 vertebral body without structural lesions involving spinal nerve roots. Dermatomal somatosensory evoked potentials (DSEP) were helpful in diagnosis with thoracic radiculopathy. Finally, Langerhans cell histiocytosis was confirmed in bone biopsy. Thoracic radiculopathy can be caused by various etiologies including bone tumor and DSEP is useful supplementary tool for diagnosing thoracic radiculopathy.
참고문헌 (10)
- Sayhan S, "Langerhans cell histiocytosis of the cervical spine in an adult: a case report", Turk Neurosurgy, 20, pp.409~412 (2010)
- 김명철, "Langerhans Cell Histiocytosis of the Thoracic Spine in an Adult", Neurospine, 14(3), pp.109~111 (2017), 대한척추신경외과학회[DOI]
- Metellus P, "Spinal Langerhans' cell histiocytosis in a young adult: case report and therapeutic considerations", Br J Neurosurg, 21, pp.228~230 (2007)
- Huang WD, "Langerhans cell histiocytosis of spine: a comparative study of clinical, imaging features, and diagnosis in children, adolescents, and adults", Spine J, 13, pp.1108~1117 (2013)
- Kim SJ, "Thoracic radiculopathy caused by thoracic disc herniation", J Korean Assoc Pain Med, 5, pp.134~137 (2006)
- 김형섭, "당뇨병성 흉추부 다발신경근병증으로 진단된 만성 좌상부 복통 1례-증례보고-", Annals of Rehabilitation Medicine, 31(4), pp.486~489 (2007), 대한재활의학회
- Chen L, "Langerhans cell histiocytosis at L5 vertebra treated with en bloc vertebral resection: a case report", World J Surg Oncol, 16, pp.1~6 (2018)
- Storm SA, "The clinical use of dermatomal somatosensory evoked potentials in lumbosacral spinal stenosis", Phys Med Rehabil Clin N Am, 15, pp.107~115 (2004)
- 윤철호, "요천추부 신경근병증 환자에서 피부절 체성감각 유발전위 검사의 가치", Annals of Rehabilitation Medicine, 25(2), pp.261~267 (2001), 대한재활의학회
- Cantu MA, "Optimal therapy for adults with Langerhans cell histiocytosis bone lesions", PLoS One, 7, pp.e43257~ (2012)