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Rosai-Dorfman disease: a rare lesion with dura tail sign mimicking spinal meningioma

First author:Liang Wu

Corresponding author:Yulun XU

essential_information

  • Person in charge:Liang Wu
  • Data Sources: OTHERS
  • Number of papers:OTHERS20190281
  • Published time:2014-12-01

2014-12-01

Published articles

Journal:The Spine Journal

Publication type: Case Report

IF(IF): 3.196

PMID: 25088958 Link To Pubmed Full text Download

Background And Purpose

Method

The patient underwent a C5–C6 laminotomy, and total resection was achieved. A histopathologic examination revealed that the mass was consistent with a diagnosis of Rosai-Dorfman disease (RDD) (Fig. 2). During 18 months of follow-up, the man remained symptom free, and no evidence of ecurrence was found on MRI examination.

Conclusion

RDD should be included in the differential diagnosis of intraspinal dural-based lesions, even without lymphadenopathy and associated systematic changes.

Main results

Rosai-Dorfman disease is a rare definitive histiocytic disorder,characterized by massive painless ervical lymphadenopathy variably associated with fever, leukocytosis,elevated erythrocyte sedimentation rate, hypergammaglobulinemia,and weight loss [1]. Various extranodal localizations have been described, and spinal involvement in RDD causing spinal cord compression is extremely rare [2]. The lesion is commonly attached to the dura mater, which can show dura tail sign and radiologically resemble meningiomas.