Granuloma eosinófilo vertebral. Un caso clínico / Vertebral eosinophilic granuloma. A case report

La lesión medular es un proceso patológico que afecta a la médula espinal, produciendo pérdida de fuerza, déficit de sensibilidad por debajo del nivel de la lesión, alteración del control de los esfínteres, disfunción sexual y alteraciones en el sistema nervioso vegetativo. Su etiología es debida a causas traumáticas, congénitas o médicas. El granuloma eosinófilo es una de las formas clínicas de presentación de la histiocitosis X consiste en una lesión osteolítica solitaria, limitada al esqueleto, que afecta de forma preferente a niños y adultos jóvenes. En este artículo presentamos el caso de un niño de 12 años que ingresa en la Unidad de Lesionados Medulares del Hospital Universitario Insular de Gran Canaria por un cuadro de paraplejia secundaria a una fractura vertebral tras sufrir un traumatismo leve. Mediante pruebas de imagen y biopsia percutánea fue diagnosticado de granuloma eosinófilo en la vértebra D8

Bone marrow lesion is a pathological condition that affects the spinal cord, producing loss of force, sensitivity deficit below the lesion level, alteration of sphincter control, sexual dysfunction, and alterations in the vegetative nervous system. Its etiology is due to traumatic, congenital or medical causes. Eosinophilic granuloma is one of the clinical presentation forms of histiocytosis X and consists in a solitary osteolytic lesion, limited to the skeleton that basically affects children and young adults. In this article, we present the case of a 12 year old boy who was admitted to the Spinal Cord Injury Unit of the University Hospital Insular of Canary Islands, due to a paraplegic picture secondary to a vertebral fracture after suffering a mild traumatism. Eosinophilic granuloma of the D8 vertebra was diagnosed through imaging tests and percutaneous biopsy

Langerhans' cell histiocytosis: a case report of an eosinophilic granuloma of the mandible treated with bone graft surgery and endosseous titanium implants.

Eosinophilic granuloma is the localized and most benign form of Langerhans' cell histiocytosis. The disease shows a particular predilection for the head and neck region and usually involves the skull bones, where it manifests as well-defined lytic lesions on standard radiographs. The case of an extensive lesion involving the body of the mandible in a 52-year-old man is reported. Operative procedures consisted of enucleation of the lytic lesion and follow-up with clinical examinations and computerized tomographic studies of the mandible at 2, 12, and 18 months postoperatively. Reconstructive surgery without radiotherapy was performed with an autologous bone graft from the iliac crest and implant placement to provide support for a dental restoration.

Granuloma Eosinófilo de la Columna Cervical

Se presenta un caso de Granuloma Eosinófilo, localizado en la columna cervical (C5) en un hombre de 15 años con sintomatologçía radicular bilateral a quien se le practicó resección total de la lesión y tratamiento complementario con dosis mínimas de radioterapia. Se realiza ubna revisión actualizada de la literatura

Orthopedic and rehabilitation aspects of eosinophilic granuloma.

Eosinophilic granuloma in children occurs in descending frequency in the skull, femur, ribs, pelvis, and spine. The varying degrees of radiographic diagnostic certainty indicate that biopsy is frequently required for diagnosis. The orthopedist should extend his involvement in such patients from the biopsy to prevention of deformity during the subsequent treatment and healing of the lesion.