MRI Findings of Juvenile Xanthogranuloma of the Spinal A Case Report

Se-Young Kim; Hee-Jin Park; So-Yeon Lee; Eun-Chul Chung; Hae-Won Park; Shin-Ho Kook; Myung-Ho Rho; Ji-Hye Goo
March 2013
Journal of the Korean Society of Radiology;Mar2013, Vol. 68 Issue 3, p251
Academic Journal
Juvenile xanthogranuloma (JXG) is a proliferative histiocytic disorder experienced during childhood and adolescents. JXG commonly presents as a solitary cutaneous lesion. Despite the term "juvenile", development of the disease during adulthood is possible, although spinal JXG is extremely rare in adults. We describe a 67-year-old female patient who presented with an intradural-extramedullary (IDEM) tumor of the spinal cord. Magnetic resonance imaging (MRI) findings indicative of JXG of the spinal cord were seen, which was then confirmed pathologically. A lumbar spinal MRI with contrast enhancement showed an oval-shaped, well-defined IDEM tumor at the L1 level. This tumor had mixed signal intensity on the Tl-weighted image and high signal intensity on the T2-weighted image. Central homogenous enhancement was observed after contrast administration.


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