UNASSIGNED: A 10-year-old male presented to physical therapy with a five-week history of increasing neck pain. A thorough history and segmental cervical examination considering the patient\'s age and development, led to patient referral to the emergency department. This case underscores the significance of comprehensive evaluation in pediatric neck pain management.
UNASSIGNED: The patient was diagnosed with Langerhans Cell Histiocytosis (LCH). LCH primarily affects children and is treated with chemotherapy. Chemotherapy reduced the tumor, revealing C2 vertebral body damage. The patient underwent C1-C3 fusion surgery, a standard procedure for atlanto-occipital region stabilization in children. The patient was advised to restrict motion for 6 months while monitoring for tumor growth.
UNASSIGNED: Pediatric neck cancer presents diagnostic challenges due to varied symptoms, but research highlights specific indicators to assist with differential diagnosis. This case emphasizes the need to recognize the complexities of pediatric neck pain and perform a thorough age-appropriate evaluation.
■一名10岁男性接受物理治疗,有5周的颈部疼痛加重病史。考虑到患者的年龄和发育,全面的病史和节段性宫颈检查,导致患者转诊至急诊科。此病例强调了综合评估在小儿颈痛治疗中的重要性。
■患者被诊断为朗格汉斯细胞组织细胞增生症(LCH)。LCH主要影响儿童,并接受化疗。化疗减少了肿瘤,揭示C2椎体损伤。患者接受C1-C3融合手术,儿童寰枕区域稳定的标准程序。建议患者在监测肿瘤生长的同时限制运动6个月。
■小儿颈癌由于各种症状而面临诊断挑战,但研究强调了具体的指标,以协助鉴别诊断。该病例强调需要认识到小儿颈部疼痛的复杂性,并进行全面的年龄评估。