Abstract
Langerhans cell histiocytosis (LCH) is a rare hematopoietic disorder characterized by granuloma formation in various body systems, with a corresponding variety of presenting symptoms. Head and neck disease accounts for ~60% of pediatric LCH, with temporal bone involvement in 4–16% of cases. Pediatric temporal bone LCH typically presents with a temporal bone mass, otorrhea, and hearing loss. Vestibular symptoms are very rare at presentation and are more often related to central nervous system (CNS) extension or treatment effects. We present a case of isolated ataxia as the presenting symptom for a pediatric patient with temporal bone LCH.
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