“…Eosinophilic granuloma of the cervical spine in young children is extremely rare benign osteolytic lesions [8]. Most presented symptoms of eosinophilic granuloma of the cervical spine includes, acute onset of neck pain, stiffness, and torticollis [5,10]. One of our cases with eosinophilic granuloma had severe significant pain and right torticollis.…”
Various underlying disorders from relatively benign to life-threatening conditions may present with torticollis. The first step should be always a careful and complete physical examination, which must include all systems. Imaging must be performed for ruling out underlying life-threatening diseases in children with torticollis, particularly, if acquired neurological symptoms exist. Besides craniospinal tumors, ophthalmological problems and central nervous system infections should also be kept in mind. Moreover, early diagnosis of these disorders will reduce mortality and morbidity. Therefore, alertness of clinicians in pediatric and pediatric neurosurgery practice must be increased about this alert symptom.
“…Eosinophilic granuloma of the cervical spine in young children is extremely rare benign osteolytic lesions [8]. Most presented symptoms of eosinophilic granuloma of the cervical spine includes, acute onset of neck pain, stiffness, and torticollis [5,10]. One of our cases with eosinophilic granuloma had severe significant pain and right torticollis.…”
Various underlying disorders from relatively benign to life-threatening conditions may present with torticollis. The first step should be always a careful and complete physical examination, which must include all systems. Imaging must be performed for ruling out underlying life-threatening diseases in children with torticollis, particularly, if acquired neurological symptoms exist. Besides craniospinal tumors, ophthalmological problems and central nervous system infections should also be kept in mind. Moreover, early diagnosis of these disorders will reduce mortality and morbidity. Therefore, alertness of clinicians in pediatric and pediatric neurosurgery practice must be increased about this alert symptom.
“…Eosinophilic granuloma is a rare, benign solitary bone lesion that affects primarily children ,15 years of age 34 and is more common in male individuals. 35 It is 1 of the 3 clinical presentations of the disorder called Langerhans cell histiocytosis, formerly known as histiocytosis X, which can involve the central nervous system, bone, liver, lungs, and lymph nodes.…”
Primary vertebral tumors, although less common than metastases to the spine, make up a heterogeneous group of neoplasms that can pose diagnostic and treatment challenges. They affect both the adult and the pediatric population and may be benign, locally aggressive, or malignant. An understanding of typical imaging findings will aid in accurate diagnosis and help neurosurgeons appreciate anatomic subtleties that may increase their effective resection. An understanding of the histological similarities and differences between these tumors is imperative for all members of the clinical team caring for these patients. In this first review of 2 parts, we discuss the epidemiological, histological, and imaging features of the most common benign primary vertebral tumors-aneurysmal bone cyst, chondroma and enchondroma, hemangioma, osteoid osteoma, and osteoblastoma-and lesions related to eosinophilic granuloma and fibrous dysplasia. In addition, we discuss the basic management paradigms for each of these diagnoses. In combination with part II of the review, which focuses on locally aggressive and malignant tumors, this article provides a comprehensive review of primary vertebral tumors.
“…Taking into account the diagnosis criteria of oJIA, we consider diagnostic delay the period after the 6 weeks necessary for the diagnosis, applied to the 9 cases. Discussion Acquired torticollis may be due to several conditions: traumatism, infectious, inflammatory, tumoral, and non-musculoskeletal entities such as neurological, ophthalmologic, nervous central system tumours, otolaryngological and illnesses [11]. This extensive differential diagnosis, associated to the rare CS involvement in early phases of JIA [12], help to justifies the diagnostic delay of some months verified in this patients (Table 1).…”
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