caa a22 4500 445833688 CHVBK 20180317145323.0 cr unu---uuuuu 170323e20110701xx s 000 0 eng 10.1007/s00586-011-1786-6 doi (NATIONALLICENCE)springer-10.1007/s00586-011-1786-6 Dumbbell-type juvenile xanthogranuloma in the cervical spine of an adult [Elektronische Daten] [Hirokazu Inoue, Atsushi Seichi, Kenichi Yamamuro, Masahiro Kojima, Atsushi Kimura, Yuichi Hoshino] Adult cases with isolated juvenile xanthogranuloma of the central nervous system are very rare. We report a case with dumbbell-type juvenile xanthogranuloma in the cervical spine. A 38-year-old man presented with moderate numbness of the right ring finger and right little finger and weakness of the right grip. Magnetic resonance imaging (MRI) showed an intra-spinal mass extending into the paravertebral area. The spinal cord was compressed by the lesion, which was isointense with the spinal cord on both T1- and T2-weighted imaging. Homogenous enhancement was observed after gadolinium administration. These findings favored a preoperative diagnosis of a rare tumor, rather than tumor of the nervous system. Complete surgical removal of the tumor was performed through hemilaminectomy combined with facetectomy between C7 and T1. Histological examination and immunohistochemical testing led to a diagnosis of juvenile xanthogranuloma. Two years after complete resection, MRI showed no recurrence. This appears to represent the first report of dumbbell-type juvenile xanthogranuloma in the cervical spine. Total removal of such lesions is recommended because of the high potential risk of tumor recurrence around the central nervous system. Springer-Verlag, 2011 Cervical spine nationallicence Dumbbell-shaped tumor nationallicence Juvenile xanthogranuloma nationallicence Inoue Hirokazu Department of Orthopedics, Jichi Medical University, 3311-1 Yakushiji, 329-0498, Shimotsuke, Tochigi, Japan aut Seichi Atsushi Department of Orthopedics, Jichi Medical University, 3311-1 Yakushiji, 329-0498, Shimotsuke, Tochigi, Japan aut Yamamuro Kenichi Department of Orthopedics, Jichi Medical University, 3311-1 Yakushiji, 329-0498, Shimotsuke, Tochigi, Japan aut Kojima Masahiro Department of Orthopedics, Jichi Medical University, 3311-1 Yakushiji, 329-0498, Shimotsuke, Tochigi, Japan aut Kimura Atsushi Department of Orthopedics, Jichi Medical University, 3311-1 Yakushiji, 329-0498, Shimotsuke, Tochigi, Japan aut Hoshino Yuichi Department of Orthopedics, Jichi Medical University, 3311-1 Yakushiji, 329-0498, Shimotsuke, Tochigi, Japan aut European Spine Journal Springer-Verlag 20(2011-07-01), 343-347 0940-6719 20<343 2011 20 586 https://doi.org/10.1007/s00586-011-1786-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-011-1786-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Inoue Hirokazu Department of Orthopedics, Jichi Medical University, 3311-1 Yakushiji, 329-0498, Shimotsuke, Tochigi, Japan aut NATIONALLICENCE 700 1- Seichi Atsushi Department of Orthopedics, Jichi Medical University, 3311-1 Yakushiji, 329-0498, Shimotsuke, Tochigi, Japan aut NATIONALLICENCE 700 1- Yamamuro Kenichi Department of Orthopedics, Jichi Medical University, 3311-1 Yakushiji, 329-0498, Shimotsuke, Tochigi, Japan aut NATIONALLICENCE 700 1- Kojima Masahiro Department of Orthopedics, Jichi Medical University, 3311-1 Yakushiji, 329-0498, Shimotsuke, Tochigi, Japan aut NATIONALLICENCE 700 1- Kimura Atsushi Department of Orthopedics, Jichi Medical University, 3311-1 Yakushiji, 329-0498, Shimotsuke, Tochigi, Japan aut NATIONALLICENCE 700 1- Hoshino Yuichi Department of Orthopedics, Jichi Medical University, 3311-1 Yakushiji, 329-0498, Shimotsuke, Tochigi, Japan aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20(2011-07-01), 343-347 0940-6719 20<343 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer