关键词: Cancer Langerhans Cell Histiocytosis case report red flags spinal fusion

Mesh : Humans Male Child Neck Pain / therapy etiology Cervical Vertebrae Histiocytosis, Langerhans-Cell / therapy complications Physical Therapy Modalities Diagnosis, Differential Spinal Fusion / methods Spinal Neoplasms / therapy complications

来  源:   DOI:10.1080/10669817.2024.2319427   PDF(Pubmed)

Abstract:
UNASSIGNED: Differential diagnosis of pediatric neck pain requires age-appropriate communication and assessment tools. Recognizing these age-related nuances is critical, emphasizing the role of physical therapists in assessing and managing pediatric patients while ruling out severe pathologies.
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.
摘要:
小儿颈痛的鉴别诊断需要与年龄相适应的沟通和评估工具。认识到这些与年龄相关的细微差别至关重要,强调物理治疗师在评估和管理儿科患者中的作用,同时排除严重的病理。
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。
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