[Show abstract][Hide abstract]ABSTRACT: Total spondyloptosis of the cervical spine is a very rare injury. The authors describe an unusual case of post-traumatic total spondyloptosis of the cervical spine at C7-T1 level.
A 40-year-old man presented with weakness of all four limbs, impaired sensations in all limbs and neck pain after a fall. A magnetic resonance image (MRI) of the cervical spine revealed a total spondyloptosis at C7-T1 level. He was managed successfully with ventral decompression and uninstrumented in situ fusion. The patient had a good neurologic outcome.
Selected patients with spondyloptosis of the cervical spine can be successfully managed with uninstrumented ventral surgery.
[Show abstract][Hide abstract]ABSTRACT: Necrobiotic xanthogranuloma (NXG) is a rare inflammatory histiocytic disease of the skin. Xanthogranuloma of the central nervous system is rare and few cases have been reported. To the authors' knowledge, there has been no previously reported case of NXG in which an intracranial lesion was found. This 52-year-old man, in whom NXG with all its cutaneous manifestations had been diagnosed, presented with three episodes of generalized tonic-clonic seizures. A contrast-enhanced computerized tomography scan of his brain revealed a bifrontal, dura-based mass lesion. The lesion was excised and reported to be an NXG that was similar, but not identical to the skin lesions. The patient was placed on a regimen of antiepileptic drug and chlorambucil after surgery.