Adult Langerhans Cell Histiocytosis of the Spine Presenting with Neurological Deficits: A Case Report

The authors report a case of an unusual spinal Langerhans cell histiocytosis (LCH) in an adult presenting with neurological deficits. A 36-year-old woman presented with LCH involving the cervical spine and presenting with neurological deficit. Despite aggressive surgical intervention followed by chemotherapy and radiation therapy, recurrence at the other site occurred repeatedly and the patient eventually succumbed to acute respiratory distress syndrome. LCH is a benign disease that resolves spontaneously, but in cases with neurological deficits, aggressive surgical treatment followed by chemotherapy and radiation therapy should be considered.

Is intramuscular stimulation a safe procedure in unpracticed hands?: a case of cervical epidural hematoma resulting in hemiparesis: A case report

Intramuscular Stimulation (IMS) is a refined technique of traditional oriental acupuncture, and IMS has proved effective for relieving chronic pain of a neuropathic origin. IMS is currently seen to be quite a safe procedure with minimal complications having been reported to date. Various complications have been documented for acupuncture, but few complications or adverse effects have been reported in relation to the relatively new technique of IMS. We report here on a case of cervical spinal epidural hematoma that manifested as a cause of delayed hemiparesis. The safety of this procedure in unpracticed hands seems to be questionable.