An intramedullary cervical cord lesion in a 12‐year‐old girl

Yao, Kun; Li, Tianfu; Zhu, Mingwang; Duan, Zejun; Hu, Zeliang; Bian, Yuanyuan; Qi, Xueling

doi:10.1111/j.1440-1789.2012.01363.x

Cited by 7 publications

(3 citation statements)

References 12 publications

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“…The youngest case with intramedullary spinal cord involvement was reported a few months ago, by Yao in a 12-year-old Asian girl. [ 29 ] As in the present case, isolated RDD of the spinal cord, notably without lymph node involvement, systemic features, moderately raised serum inflammatory markers, or indeed extranodal disease elsewhere is very unusual. [ 9 ] To our knowledge, this is the 6 th case that presents an isolated intramedullary mass without any systemic manifestation that is documented and published in English literature.…”

Section: Discussionsupporting

confidence: 52%

A new case of cervical intramedullary sinus histiocytosis causing paraplegia and review of the literature

Rocha-Maguey¹,

Felix-Torrontegui²,

Gutiérrez-Castro

et al. 2016

Surg Neurol Int

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Background:Rosai–Dorfman disease (RDD) is an uncommon, benign histiocytic proliferative disorder of unknown origin. It predominantly affects the lymph nodes, but can also be found extranodal in different organs. Nervous system involvement is rare, and the most cases are intracranial. Surgical treatment is indicated when the central nervous system (CNS) in compromised.Case Description:We herein describe the management of a 27-year-old woman who presented progressive spinal cord symptoms, secondary to an isolated intramedullary lesion, which had a histological confirmation of RDD. To our knowledge, this is the 6th case reported in English written manuscripts. We review these cases and analyze some of the literature concerning the disease.Conclusions:RDD shows some variability in the involvement of the entire neuraxis, and because its ability to mimic meningeal and primary brain tumors, it is essential to be aware of this entity and consider RDD in the differential diagnosis of various lesions of the CNS. The conclusive diagnosis must be obtained by histological methods, so surgical approaches have to be discussed. Although it is not considered as a malignancy, options for postoperative medical treatment are variable and include radiation, chemotherapy or maybe monoclonal antibodies for refractory or recurrent cases.

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Section: Discussionsupporting

confidence: 52%

A new case of cervical intramedullary sinus histiocytosis causing paraplegia and review of the literature

Rocha-Maguey¹,

Felix-Torrontegui²,

Gutiérrez-Castro

et al. 2016

Surg Neurol Int

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“…8 Moreover, in children, isolated intramedullary spinal RDD is extremely rare and has only been reported twice in two 12 years old children, making our case the first reported in an infant. 7,12 The diagnosis of RDD cannot depend on imaging as there are no pathognomonic features. 1 CNS RDD usually presents with dural-based lesions; and that along with their homogenous enhancement on post-contrast T1-weighted images leads to their frequent misdiagnosis as meningiomas.…”

Section: Discussionmentioning

confidence: 99%

Isolated Intramedullary Spinal Rosai–Dorfman Disease in a Child: A Case Report

Moussa

Degheidy

Osman

et al. 2019

JCS

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Rosai–Dorfman disease (RDD) is an uncommon benign histiocytic proliferative disorder commonly involving the cervical lymph nodes and, less frequently, extranodal sites. The histological hallmark of RDD is emperipolesis displayed by lesional histiocytes. Central nervous system involvement is rare and usually intracranial; intramedullary spinal involvement is even less common and, to our knowledge, rarely reported in children. Herein, we report a case of RDD with isolated intramedullary spinal involvement in a child, which, to our knowledge, is the first case reported in an infant.

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“…210,[212][213][214][215][217][218][219][220][221] Central nervous system involvement in 287 cases of Rosai-Dorfman disease. [1-5,7,9,10,12-24,26-39,41,44-48,50-54,56-68,70,72-96,98,99,102-111,113-115,117-123,126- 129,130,132-135,137-142,144,146-148,150-154,157-161,163-175,177,178,181-185,187-191,193-196,198,200,202-210,212-215,217-221] …”

mentioning

confidence: 99%

Rosai-Dorfman disease mimicking images of meningiomas: Two case reports and literature review

Tatit

Raffa²,

Motta

et al. 2021

Surgical Neurology International

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Background: Rosai-Dorfman disease (RDD) is a rare non-Langerhans cell histiocytic proliferative disorder classically as a massive cervical lymphadenopathy. However, over the years, extranodal locations were confirmed with the central nervous system involvement in less than 5% of cases, which is marked as a significant differential diagnosis of meningiomas, with which they are widely confused due to the similarity of their radiological images. Case Description: We report a 37-year-old man and 45-year-old man who were diagnosed with intracranial RDD but whose radiological images mimic meningiomas, requiring anatomopathological and tumor’s immunohistochemistry for definitive diagnosis. Moreover, a review of 184 publications with 285 cases of intracranial involvement of this disease was also performed, comparing these findings with those brought in the previous studies. Conclusion: Intracranial Rosai-Dorfman tumors should always be remembered as differential diagnosis of meningiomas since they are similar radiologically and macroscopically. Once remembered and diagnosed, the lesion must be treated following the same pattern of resection done in meningiomas and, treatment’s differences will not occur in the surgical excision technique, but in complementary chemotherapy implementation, radiotherapy, and even with radiosurgery aid, depending on the case. Thus, it is possible to obtain better results than with just the isolated surgical procedure.

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An intramedullary cervical cord lesion in a 12‐year‐old girl

Cited by 7 publications

References 12 publications

A new case of cervical intramedullary sinus histiocytosis causing paraplegia and review of the literature

A new case of cervical intramedullary sinus histiocytosis causing paraplegia and review of the literature

Isolated Intramedullary Spinal Rosai–Dorfman Disease in a Child: A Case Report

Rosai-Dorfman disease mimicking images of meningiomas: Two case reports and literature review

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