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. 2008 Jan 29;17(Suppl 2):318–323. doi: 10.1007/s00586-008-0606-0

Table 1.

Solitary juvenile xanthogranuloma cases involving the spine reported in the literature (2007)

Shimosawa et al. [16] Kitchen et al. [10] Kim et al. [9] Rampini et al. [15] Present case
Age 13 months 15 years 16 months 34 months 18 years
Sex Female Female Female Female Female
Symptoms and signs Difficult stance, mild spastic paraparesis Lower back and leg pain, Lase`gue positive Difficult stance and gait, spastic paraparesis Intense cervical and right brachial pain, tetraparesis muscular hypotrophy Intermittent pain in the right side of the neck
Tumor localization Intradural extramedullary T6–T9 S1 nerve root sheath Intradural extramedullary T1–T2 Intradural extramedullary C5–C7 C2 nerve root
CT No contrast enhancement Irregular calcifications in the mass after enhancement
MRI Hypointense in T1; hypointense in T2; no contrast enhancement Isointense in T1; hypointense in T2; isointense in DP; no contrast administered Isointense in T1; hyperintense in T2; homogeneous enhancement T1 isointense; T2 isointense; homogeneous enhancement Isointense to hypointense in T1 and T2, hyperintense enhancement
Surgical approach Five-level laminoplastic laminectomy One-level laminectomy, sacral-hiatus resection Four-level laminectomy Four-level open-door laminoplasty C1–C2 laminectomy
Tumor relation to adjacent structures Adherent to inner layer of dura mater; arachnoid intact Adherent to S1 nerve root sheath Adherent to inner layer of dura mater; arachnoid intact Adherent to inner layer of dura mater; arachnoid intact Originated from C2 nerve root and involved the right lateral mass of the C1 and C2
Surgical resection Total Total Total Total Total