Rare Presentation of Rosai-Dorfman Disease Mimicking a Cervical Intramedullary Spinal Cord Tumor

Autor: Tamadur Mahasneh, Sue-Ellen Holmes, Mohamed El Molla, Darweesh Al-Khawaja
Rok vydání: 2014
Předmět:
Zdroj: World Neurosurgery. 81:442.e7-442.e9
ISSN: 1878-8750
DOI: 10.1016/j.wneu.2013.01.002
Popis: Background Rosai-Dorfman disease, or sinus histiocytosis with massive lymphadenopathy, is a rare, benign, lymphoproliferative disorder that commonly manifests as a massive painless cervical lymphadenopathy with associated fever and weight loss. Central nervous system involvement is extremely rare, and cervical spinal cord manifestation has not been reported. Methods A 76-year-old man presented with a 10-week history of right hemiparesis. Magnetic resonance imaging identified an enhancing cervical intramedullary lesion consistent with a primary spinal cord tumor. Results Histopathology revealed intramedullary histiocytosis. Conclusions This cervical presentation of Rosai-Dorfman disease with central nervous system involvement suggests variation in the clinical manifestations of the disease, necessitating greater surgical awareness.
Databáze: OpenAIRE