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Published in: Child's Nervous System 9/2006

01-09-2006 | Case Report

Intracranial Rosai–Dorfman disease in a child mimicking bilateral giant petroclival meningiomas: a case report and review of literature

Authors: Deepak Kumar Gupta, Ashish Suri, Ashok Kumar Mahapatra, Veer Singh Mehta, Ajay Garg, Chitra Sarkar, Faiz U. Ahmad

Published in: Child's Nervous System | Issue 9/2006

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Abstract

Objectives and importance

Rosai–Dorfman disease (RDD) is a rare but distinctive entity of unknown etiology; isolated intracranial RDD is uncommon. Of 37 reported intracranial RDD cases, only three were reported in children.

Clinical presentation

We report an unusual case of a 15-year-old boy presenting with 4 months history of raised intracranial pressure with visual deterioration. Computed tomography and magnetic resonance imaging revealed bilateral petroclival enhancing lesions with cavernous sinus extension mimicking meningioma. However, histological examination was diagnostic of RDD.

Intervention

The patient underwent extended right-sided middle fossa approach and near-total tumor removal from petroclival region and cavernous sinus on both sides in two stages 6 weeks apart.

Conclusion

Ours is the first case of pediatric isolated intracranial RDD presenting with giant bilateral petroclival masses successfully managed with bilateral extended middle fossa approach in two stages. An optimal treatment for RDD is not established, but complete surgical resection alone seems effective.
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Metadata
Title
Intracranial Rosai–Dorfman disease in a child mimicking bilateral giant petroclival meningiomas: a case report and review of literature
Authors
Deepak Kumar Gupta
Ashish Suri
Ashok Kumar Mahapatra
Veer Singh Mehta
Ajay Garg
Chitra Sarkar
Faiz U. Ahmad
Publication date
01-09-2006
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 9/2006
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-006-0055-1

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