Extra-Axial Mass in the Foramen Magnum Causing Cervical Compressive Myelopathy as a Complication of Rosai-Dorfman Disease

León, Sira Carrasco-García de; Barragán, José Manuel Flores; Calatayud, Fernanda Relea; Rojas, Osvaldo Balcazar

doi:10.3988/jcn.2017.13.3.312

Cited by 6 publications

(4 citation statements)

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“…[8,9] To the best of our knowledge, only 4 cases of RDD with craniocervical junction involvement have been previously reported so far (Table 1). [2–5] We present the fifth case of RDD with craniocervical junction involvement in the foramen magnum. In all 5 cases of RDD with cranio-spinal involvement in Table 1, the most frequent neurological symptoms were motor deficits (2 cases) and headaches (2 cases) and neck pain (1 case).…”

Section: Discussionmentioning

confidence: 99%

“…In all 5 cases of RDD with cranio-spinal involvement in Table 1, the most frequent neurological symptoms were motor deficits (2 cases) and headaches (2 cases) and neck pain (1 case). [2–5]…”

Section: Discussionmentioning

confidence: 99%

“…To the best of our knowledge, only 4 cases of RDD with craniocervical junction involvement have been reported since the disease was first described in 1969. [2–5]…”

Section: Introductionmentioning

confidence: 99%

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Isolated Rosai–Dorfman disease with craniocervical junction involvement in the foramen magnum

Wang¹,

Zou

Zeng³

et al. 2019

Medicine

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Rationale:Rosai–Dorfman disease (RDD) is a rare benign histiocytic proliferative disease. RDD with cranio-spinal involvement in the foramen magnum is extremely rare. To the best of our knowledge, only 4 cases of RDD with craniocervical junction involvement have been reported so far. Herein, we present the fifth case of RDD with craniocervical junction.Patient concerns:A 26-year-old female presented with a sudden headache, accompanied by nausea and vomiting several times during the past half-month.Diagnoses:Magnetic resonance imaging (MRI) showed a well-defined, lobulated, homogenous mass in the left foramen magnum. The lesion was isointense on T1-weighted images (T1WI) and hypointense on T2-weighted images (T2WI), and showed homogeneously obvious enhancement following the intravenous administration of gadolinium. It was dural based and extending inferiorly along the spinal dura up to the cervical spinal canal. The brainstem was compressed and deflected to the right side. Initial diagnosis of meningioma with craniocervical junction involvement in the foramen magnum was made according to MRI findings. Final diagnosis of RDD was confirmed by histopathological and immunohistochemical examinations after subtotally surgical resection.Interventions:The bulk of lesion in the foramen magnum was removed surgically with suboccipital craniectomy because of brainstem compression.Outcomes:The patient recovered well and was discharged 17 days after the surgery.Lessons:RDD should be considered in patients with dural-based, extra-axial, well-circumscribed, hypo- to isointense on T1WI, hypo- to isointense on T2WI, enhancing intracranial or spinal lesions or both.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Isolated Rosai–Dorfman disease with craniocervical junction involvement in the foramen magnum

Wang¹,

Zou

Zeng³

et al. 2019

Medicine

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“…Myelopathy in Erdheim-Chester's disease has been seen with extra-axial compressive inflammatory lesions or with a parenchymal contrast-enhancing masslike lesion; 65,66 similarly, myelopathy in Rosai-Dorfman's disease has been observed with a compressive contrast-enhancing extra-axial lesion. 67 Presumed parainfectious/postinfectious inflammatory myelopathies have been reported in association with a variety of viral and bacterial triggers, but a definitive inflammatory etiology and correlation with infection is often difficult to prove, and infections are also well-established triggers of other definable inflammatory myelopathies such as MS, 15 AQP4-IgG seropositive NMOSD, 68 and MOG-IgG CNS demyelinating disease. [69][70][71] Fig .…”

Section: Other Inflammatory Myelopathiesmentioning

confidence: 99%

Autoimmune and Paraneoplastic Myelopathies

Zalewski

Flanagan

2018

Semin Neurol

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Prompt recognition of an inflammatory myelopathy is critical, as a specific diagnosis and management plan allows for optimal patient outcomes. Many treatment options are now available for autoimmune and paraneoplastic myelopathies, but specific management strategies and expected prognosis vary widely depending on the underlying etiology. An understanding of the relevant clinical details, imaging findings, and other diagnostic information that can help achieve a specific myelopathy diagnosis and treatment plan is essential for all neurologists, given the variety of contexts in which myelopathies are encountered. We provide an outline of the diagnostic evaluation and treatment of various inflammatory myelopathies seen in autoimmune and paraneoplastic diseases, including multiple sclerosis, aquaporin-4 immunoglobulin G (IgG) seropositive neuromyelitis optica spectrum disorder, sarcoidosis, myelin oligodendrocyte glycoprotein IgG associated disease, and other rare inflammatory myelopathies; we also highlight common mimickers of inflammatory myelopathies.

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Craniocervical Rosai-Dorfman Disease presentation: Case report and review of literature

Yazbeck

Comair²,

Berjaoui

et al. 2023

Neurocirugía (English Edition)

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Extra-Axial Mass in the Foramen Magnum Causing Cervical Compressive Myelopathy as a Complication of Rosai-Dorfman Disease

Cited by 6 publications

References 4 publications

Isolated Rosai–Dorfman disease with craniocervical junction involvement in the foramen magnum

Isolated Rosai–Dorfman disease with craniocervical junction involvement in the foramen magnum

Autoimmune and Paraneoplastic Myelopathies

Craniocervical Rosai-Dorfman Disease presentation: Case report and review of literature

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