Subdural effusion in a CNS involvement of systemic juvenile xanthogranuloma:: A case report treated with vinblastin

被引:16
作者
Auvin, Stephane [1 ]
Cuvellier, Jean-Christophe [1 ]
Vinchon, Mathieu [2 ]
Defoort-Dhellemes, Sabine [3 ]
Soto-Ares, Gustavo [4 ]
Nelken, Brigitte [5 ]
Vallee, Louis [1 ]
机构
[1] Univ Hosp, Dept Pediat Neurol, Lille, France
[2] Univ Hosp, Dept Pediat Neurosurg, Lille, France
[3] Univ Hosp, Dept Ophthalmol, Lille, France
[4] Univ Hosp, Dept Neuroradiol, Lille, France
[5] Univ Hosp, Dept Pediat Hematooncol, Lille, France
关键词
xanthogranuloma; subdural effusion; vinblastin; MANIFESTATIONS;
D O I
10.1016/j.braindev.2007.07.004
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Juvenile xanthogranuloma (JXG) is one of the most common non-Langerhans cell histiocytosis in children. Usually cutaneous, there are disseminated forms. However, neurological localization remains exceptional. A 7-month-old boy had been admitted for subdural effusion due to non-accidental head injury and skin nodular lesions. A biopsy of a skin lesion was considered suggestive of JXG. Skin, eyes, brain, lungs, liver, and testicles were involved. Systemic treatment of JXG was begun with vinblastine. It allowed the regression of skin, lung, and CNS lesions. At age of 11 years, lie had not reappearance of the xanthogranuloma. This report emphasizes the possible presentation of xanthogranuloma with subdural effusions, the organs which should be examined in case of disseminated forms and the efficiency of vinblastin. (C) 2007 Elsevier B.V. All rights reserved.
引用
收藏
页码:164 / 168
页数:5
相关论文
共 11 条
[1]   Multiple intracranial juvenile xanthogranulomas [J].
Boström, J ;
Janssen, G ;
Messing-Jünger, M ;
Felsberg, JU ;
Neuen-Jacob, E ;
Engelbrecht, V ;
Lenard, HG ;
Bock, WJ ;
Reifenberger, G .
JOURNAL OF NEUROSURGERY, 2000, 93 (02) :335-341
[2]   The risk of intraocular juvenile xanthogranuloma: Survey of current practices and assessment of risk [J].
Chang, MW ;
Frieden, IJ ;
Good, W .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 1996, 34 (03) :445-449
[3]   JUVENILE XANTHOGRANULOMA WITH RECURRENT SUBDURAL EFFUSIONS [J].
CHU, AC ;
WELLS, RS ;
MACDONALD, DM .
BRITISH JOURNAL OF DERMATOLOGY, 1981, 105 (01) :97-101
[4]   Primary cerebral non-Langerhans cell histiocytosis: MRI and differential diagnosis [J].
Ernemann, U ;
Skalej, M ;
Hermisson, M ;
Platten, M ;
Jaffe, R ;
Voigt, K .
NEURORADIOLOGY, 2002, 44 (09) :759-763
[5]  
Favara BE, 1997, MED PEDIATR ONCOL, V29, P157, DOI 10.1002/(SICI)1096-911X(199709)29:3<157::AID-MPO1>3.0.CO
[6]  
2-C
[7]   JUVENILE XANTHOGRANULOMA WITH CENTRAL-NERVOUS-SYSTEM LESIONS [J].
FLACH, DB ;
WINKELMANN, RK .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 1986, 14 (03) :405-411
[8]   Juvenile xanthogranuloma: Forms of systemic disease and their clinical implications [J].
Freyer, DR ;
Kennedy, R ;
Bostrom, BC ;
Kohut, G ;
Dehner, LP .
JOURNAL OF PEDIATRICS, 1996, 129 (02) :227-237
[9]  
OKUBO T, 1995, ACTA NEUROPATHOL, V90, P87
[10]  
WOLFF HH, 1975, HAUTARZT, V26, P268