机构:[1]Department of Neurosurgery, The Second Affiliated Hospital of Nanchang University, Nanchang[2]Department of Neurosurgery, Xiamen Humanity Hospital, Xiamen[3]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China神经外科首都医科大学宣武医院
BACKGROUND: Rosai-Dorfman disease (RDD), also called sinus histiocytosis with massive lymphadenopathy, is an idiopathic, non-neoplastic, lymphoproliferative disorder. Histologically, the disease is characterized by emperipolesis and S-100 immunoreactivity. RDD usually presents with massive painless cervical lymphadenopathy, with only 5% of cases affecting the central nervous system. CASE DESCRIPTION: We report the case of a 46-year-old woman with isolated RDD of the left cavernous sinus with left facial numbness and weakness of the left masticatory muscle. The patient was successfully treated by total resection without recurrence found at the 65-month follow-up examination. CONCLUSIONS: Central nervous system RDD is a diagnostic challenge pre-operatively depending on the radiologic findings. Immunohistochemical confirmation is indispensable for the definite diagnosis. Total resection remains the most effective treatment to date. Adjuvant treatment such as chemotherapy, radiotherapy, and steroids can be administrated in cases of incomplete resection, recurrence, or multiple foci.
第一作者机构:[1]Department of Neurosurgery, The Second Affiliated Hospital of Nanchang University, Nanchang
通讯作者:
通讯机构:[3]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China
推荐引用方式(GB/T 7714):
Ziyi Li,Chuan Zhou,Ge Chen,et al.Intracranial Rosai-Dorfman Disease Involving the Cavernous Sinus: A Case Report and Review of the Literature[J].WORLD NEUROSURGERY.2018,119:249-255.doi:10.1016/j.wneu.2018.08.031.
APA:
Ziyi Li,Chuan Zhou,Ge Chen&Yuhai Bao.(2018).Intracranial Rosai-Dorfman Disease Involving the Cavernous Sinus: A Case Report and Review of the Literature.WORLD NEUROSURGERY,119,
MLA:
Ziyi Li,et al."Intracranial Rosai-Dorfman Disease Involving the Cavernous Sinus: A Case Report and Review of the Literature".WORLD NEUROSURGERY 119.(2018):249-255