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Isolated intracranial Rosai-Dorfman disease mimicking petroclival meningioma in a child: Case report and review of the literature.

Abstract Rosai -Dorfman disease (RDD) is a rare, idiopathic, and non-neoplastic histioproliferative disease with distinctive entity of unknown etiology. Central nervous system (CNS) RDD is uncommon, hence, isolated intracranial RDD is extremely rare. So far only 6 cases of CNS RDD with the lesions originating from petroclival region have been reported. We present a case of isolated intracranial RDD mimicking petroclival meningioma.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29381971
OWN - NLM
STAT- MEDLINE
DCOM- 20180208
LR  - 20180208
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 47
DP  - 2017 Nov
TI  - Isolated intracranial Rosai-Dorfman disease mimicking petroclival meningioma in a
      child: Case report and review of the literature.
PG  - e8754
LID - 10.1097/MD.0000000000008754 [doi]
AB  - RATIONALE: Rosai -Dorfman disease (RDD) is a rare, idiopathic, and non-neoplastic
      histioproliferative disease with distinctive entity of unknown etiology. Central 
      nervous system (CNS) RDD is uncommon, hence, isolated intracranial RDD is
      extremely rare. So far only 6 cases of CNS RDD with the lesions originating from 
      petroclival region have been reported. We present a case of isolated intracranial
      RDD mimicking petroclival meningioma. PATIENT CONCERNS: A 14-year-old girl was
      admitted at our hospital with a 3-month history of dizziness, slowly progressing 
      headache, and 2-month history of instability in walking. Cranial nerve deficits, 
      including left facial paralysis, left facial numbness and left hearing loss, were
      evident on examination. DIAGNOSES: Initial diagnosis of petroclival meningioma
      was made according to preoperative magnetic resonance imaging. INTERVENTIONS: The
      lesion was resected subtotally and pathology confirmed RDD. The patient received 
      gamma-knife treatment for the residual lesion. OUTCOMES: The patient recovered
      well and the residual lesion significantly retrogressed on follow-up images.
      LESSONS: Preoperative diagnosis of petroclival RDD is full of challenges.
      Although surgical resection of lesions is an effective treatment option, total
      resection is not highly recommended because the surgery-related defect must be
      minimal. Patient with residual lesion can be put on steroid therapy and/or
      radiotherapy, especially for IgG4 positive subset of RDD.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Yang, Xiang
AU  - Yang X
AD  - Department of Neurosurgery, West China Hospital of Sichuan University, Chengdu,
      Sichuan, China.
FAU - Liu, Jiagang
AU  - Liu J
FAU - Ren, Yanming
AU  - Ren Y
FAU - Richard, Seidu A
AU  - Richard SA
FAU - Zhang, Yuekang
AU  - Zhang Y
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Adolescent
MH  - Brain Diseases/*diagnosis
MH  - Diagnosis, Differential
MH  - Female
MH  - Histiocytosis, Sinus/*diagnosis
MH  - Humans
MH  - Meningeal Neoplasms/*diagnosis
MH  - Meningioma/*diagnosis
MH  - Skull Base Neoplasms/diagnosis
PMC - PMC5708970
EDAT- 2018/02/01 06:00
MHDA- 2018/02/09 06:00
CRDT- 2018/02/01 06:00
PHST- 2018/02/01 06:00 [entrez]
PHST- 2018/02/01 06:00 [pubmed]
PHST- 2018/02/09 06:00 [medline]
AID - 10.1097/MD.0000000000008754 [doi]
AID - 00005792-201711270-00062 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Nov;96(47):e8754. doi: 10.1097/MD.0000000000008754.