Altano-axial subluxation with torticollis secondary to Langerhans cell histocytosis

Altano-axial subluxation with torticollis secondary to Langerhans cell histocytosis

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Langerhans Cell Histiocytosis is a rare disease featuring aberrant proliferation of dendritic cells that can infiltrate the bony skeleton.The authors report a case of Waterproof Bodywarmers six-year-old female presenting with torticollis.She was found to have extensive lytic LCH lesions in the cranio-cervical junction, causing atlanto-axial rotatory subluxation.

Decision was made for a non-surgical approach to treat the patient.She was placed in a Halo brace, and given concomitant chemotherapy.Post-treatment imaging NEFF D65BMP5N0B N70 Built In 60cm 5 Speeds A Chimney Cooker Hood Stainless demonstrated near-complete reconstitution of the skeleton affected by LCH.

This case highlights the feasibility of non-surgical treatment in selected LCH patients at high-risk of spinal instability.Keywords: Atlanto-axial subluxation, Langerhans cell histocytosis, Torticollis.