Efecan Cekic, Ahmet Karagoz, Mustafa Sakar, Rabia Emel Senay, Kadriye Ebru Akar, Suheyla Bozkurt, Adnan Dagcinar
{"title":"Langerhans cell histiocytosis located in the spheno-orbital bone and the pons: illustrative case.","authors":"Efecan Cekic, Ahmet Karagoz, Mustafa Sakar, Rabia Emel Senay, Kadriye Ebru Akar, Suheyla Bozkurt, Adnan Dagcinar","doi":"10.3171/CASE22367","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>This is a case of aggressive Langerhans cell histiocytosis (LCH) with an atypical intracranial location.</p><p><strong>Observations: </strong>In this report, the authors present the diagnosis and treatment of a 12-year-old male patient diagnosed with LCH. The patient was admitted to the emergency department with left-sided facial palsy, and a solid lesion with mass effect in the pons was found. A biopsy was performed via suboccipital craniotomy, and the diagnosis was LCH. A chemotherapy regimen was started since the LCH sample was the resistant type. The patient showed improvement in his neurological deficit following treatment.</p><p><strong>Lessons: </strong>This rare localized and aggressive case's diagnosis process and treatment choices may apply to future cases.</p>","PeriodicalId":16554,"journal":{"name":"Journal of Neurosurgery: Case Lessons","volume":"6 5","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f9/34/CASE22367.PMC10555582.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Neurosurgery: Case Lessons","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3171/CASE22367","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Background: This is a case of aggressive Langerhans cell histiocytosis (LCH) with an atypical intracranial location.
Observations: In this report, the authors present the diagnosis and treatment of a 12-year-old male patient diagnosed with LCH. The patient was admitted to the emergency department with left-sided facial palsy, and a solid lesion with mass effect in the pons was found. A biopsy was performed via suboccipital craniotomy, and the diagnosis was LCH. A chemotherapy regimen was started since the LCH sample was the resistant type. The patient showed improvement in his neurological deficit following treatment.
Lessons: This rare localized and aggressive case's diagnosis process and treatment choices may apply to future cases.