Langerhans' Cell Histiocytosis of the Central Nervous System

2006 ◽  
pp. 610-613
Author(s):  
Rima F. Jubran ◽  
Jonathan Finlay
2020 ◽  
Vol 33 (4) ◽  
pp. 603-605
Author(s):  
Walter R. Duarte-Celada ◽  
Smathorn Thakolwiboon ◽  
Luis Brandi ◽  
Christopher Duarte-Celada ◽  
Mirla Avila

2020 ◽  
Vol 12 (6) ◽  
pp. 117-123
Author(s):  
L. V. Lukina ◽  
V. A. Mikhailov ◽  
N. I. Ananyeva ◽  
G. E. Mazo ◽  
L. I. Sitnik ◽  
...  

Langerhans cell histiocytosis (LCH) is a rare disease with hitherto unknown etiology and pathogenesis. It is extremely rare for clinicians to encounter histiocytic lesions of the central nervous system (CNS); the proportion of cases of which is only 1–4% of all polysystemic and multifocal bone lesions. The paper describes a clinical case of fixation amnesia in a female patient with focal brain lesions in LCH. It depicts the most characteristic clinical features and presents an algorithm for the diagnosis of histiocytic brain lesion. The results of the experimental psychological examination of the patient are considered in detail and the clinical presentations of fixation amnesia are described. There are neuroimaging data showing the lesions in the hypothalamic-pituitary region and temporal bone, which involve the auditory structures. The clinical findings have led to the conclusion that both the clinical and neuroimaging patterns of histiocytic lesions in the CNS are non-specific, which complicates the diagnostic search in LCH. For correct diagnosis and timely treatment, it is necessary to perform a biopsy of the pathological focus, followed by histological and immunohistochemical examination of the material.


2008 ◽  
Vol 50 (1) ◽  
pp. 72-79 ◽  
Author(s):  
Girish Dhall ◽  
Jonathan L. Finlay ◽  
Ira J. Dunkel ◽  
Lawrence J. Ettinger ◽  
Stewart J. Kellie ◽  
...  

2017 ◽  
Vol 5 (10) ◽  
pp. 1664-1667 ◽  
Author(s):  
Priscilla Powell ◽  
Gaile Vitug ◽  
Fernando Castro-Silva ◽  
Anish Ray

1996 ◽  
Vol 85 (6) ◽  
pp. 1156-1160 ◽  
Author(s):  
Anne Vital ◽  
Hugues Loiseau ◽  
Guy Kantor ◽  
Claude Vital ◽  
François Cohadon

✓ An unusual case of primary parenchymal Langerhans' cell histiocytosis of the central nervous system is reported. The definitive diagnosis was obtained by ultrastructural detection of Birbeck granules and by immunohistochemical evidence of CD1a expression. Despite complete surgical resection, there was an early recurrence with multiple central nervous system metastases leading to a fatal outcome.


2021 ◽  
Vol 49 (1) ◽  
pp. 030006052098282
Author(s):  
Chih-Yang Lin ◽  
Chia-Che Lee ◽  
Kuan-Wen Wu ◽  
Chang-Tsu Yuan ◽  
Ken-Nan Kuo ◽  
...  

The various presentations of osseous Langerhans cell histiocytosis (LCH) make it difficult to distinguish from other bone diseases. In addition, there is no universally accepted protocol for managing osseous LCH for single non-central nervous system-risk lesions. Here, the rare cases of two paediatric patients, aged 1 and 2 years, who presented with a solitary tibial lesion at time of LCH diagnosis, are reported. One patient progressed to multiple lesions after curettage of the original lesion. Subsequently, both patients received preventive chemotherapy using the Taiwan Paediatric Oncology Group (TPOG) revised protocol for treating low risk patients with LCH, namely, TPOG LCH2002-LR. After receiving this treatment, which included a schedule of prednisolone and vincristine for 6 weeks, followed by prednisolone, vincristine and 6-mercaptopurine for a further 48 weeks, both patients are free from recurrence or progression.


2003 ◽  
Vol 48 (3) ◽  
pp. 213
Author(s):  
E Yup Kim ◽  
Jae Kyu Lee ◽  
Chan Kyo Kim ◽  
Chang Hyun Lee ◽  
Chang Ho Kang ◽  
...  

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