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Erschienen in: Clinical Neuroradiology 1/2013

01.03.2013 | Clinical Case

Freiburg Neuropathology Case Conference: A Partially Calcified, Dura-based Tumour of the Frontal Lobe

verfasst von: C. A. Taschner, O. Staszewski, R. Jabbarli, A. Keuler, M. Prinz

Erschienen in: Clinical Neuroradiology | Ausgabe 1/2013

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Excerpt

A 50-year-old female patient was admitted to a county hospital after an accident due to a first-time generalised seizure with anterograde amnesia. Computed tomography (CT) and magnetic resonance imaging (MRI) revealed a parasagittal convexity lesion in the right frontal lobe. The patient received antiepileptic medication and was referred to our university hospital for surgery. A right frontal craniotomy for microsurgical tumour resection was performed. The oval-shaped tumour with the diameter of about 25 mm was adherent to convexity dura, possessed a solid consistency with own capsule and well-defined arachnoid border to surrounding frontal cortex. Macroscopically the tumours seemed compatible with the diagnosis of a convexity meningioma. After excision of affected convexity dura, a complete microsurgical resection of lesion could be achieved. Postoperatively, the patient had no neurological deficit and no seizures under continued antiepileptic medication. After proper recovery she was discharged. A routine ambulatory check-up 2 months after surgery revealed no new clinical complaints; in the absence of seizures the antiepileptic medication was reduced. …
Literatur
1.
2.
Zurück zum Zitat Campbell BA, Jhamb A, Maguire JA, Toyota B, Ma R. Meningiomas in 2009: controversies and future challenges. Am J Clin Oncol. 2009;32:73–85.PubMedCrossRef Campbell BA, Jhamb A, Maguire JA, Toyota B, Ma R. Meningiomas in 2009: controversies and future challenges. Am J Clin Oncol. 2009;32:73–85.PubMedCrossRef
3.
Zurück zum Zitat Shah R, Roberson GH, Curé JK. Correlation of MR imaging findings and clinical manifestations in neurosarcoidosis. AJNR Am J Neuroradiol. 2009;30:953–61.PubMedCrossRef Shah R, Roberson GH, Curé JK. Correlation of MR imaging findings and clinical manifestations in neurosarcoidosis. AJNR Am J Neuroradiol. 2009;30:953–61.PubMedCrossRef
4.
Zurück zum Zitat Yamaki T, Ikeda T, Sakamoto Y, Ohtaki M, Hashi K. Lymphoplasmacyte-rich meningioma with clinical resemblance to inflammatory pseudotumor. Report of two cases. J Neurosurg. 1997;86(5):898–904.PubMedCrossRef Yamaki T, Ikeda T, Sakamoto Y, Ohtaki M, Hashi K. Lymphoplasmacyte-rich meningioma with clinical resemblance to inflammatory pseudotumor. Report of two cases. J Neurosurg. 1997;86(5):898–904.PubMedCrossRef
5.
Zurück zum Zitat Louis DN, Ohgaki H, Wiestler OD, Cavenee WK, Editors. WHO classification of tumours of the central nervous system. Lyon: IARC; 2007. Louis DN, Ohgaki H, Wiestler OD, Cavenee WK, Editors. WHO classification of tumours of the central nervous system. Lyon: IARC; 2007.
6.
Zurück zum Zitat Glidden D, Grau J, Bagg A. Reactive versus neoplastic lymphoid follicles: proliferation and death versus quiescence and staying alive. Br J Haematol. 2004;126(6):757.PubMedCrossRef Glidden D, Grau J, Bagg A. Reactive versus neoplastic lymphoid follicles: proliferation and death versus quiescence and staying alive. Br J Haematol. 2004;126(6):757.PubMedCrossRef
7.
Zurück zum Zitat Magliozzi R, Howell O, Vora A, Serafini B, Nicholas R, Puopolo M, et al. Meningeal B-cell follicles in secondary progressive multiple sclerosis associate with early onset of disease and severe cortical pathology. Brain. 2006;130(4):1089–104.CrossRef Magliozzi R, Howell O, Vora A, Serafini B, Nicholas R, Puopolo M, et al. Meningeal B-cell follicles in secondary progressive multiple sclerosis associate with early onset of disease and severe cortical pathology. Brain. 2006;130(4):1089–104.CrossRef
8.
Zurück zum Zitat Kuo T, Chen T, Lee L, Lu P. IgG4-positive plasma cells in cutaneous rosai-dorfman disease: an additional immunohistochemical feature and possible relationship to IgG4-related sclerosing disease. J Cutan Pathol. 2009;36(10):1069–73.PubMedCrossRef Kuo T, Chen T, Lee L, Lu P. IgG4-positive plasma cells in cutaneous rosai-dorfman disease: an additional immunohistochemical feature and possible relationship to IgG4-related sclerosing disease. J Cutan Pathol. 2009;36(10):1069–73.PubMedCrossRef
9.
Zurück zum Zitat Roberts S, Attanoos R. IgG4+ Rosai-Dorfman disease of the lung. Histopathology. 2010;56(5):662–4.PubMedCrossRef Roberts S, Attanoos R. IgG4+ Rosai-Dorfman disease of the lung. Histopathology. 2010;56(5):662–4.PubMedCrossRef
10.
Zurück zum Zitat Chen TD, Lee LY. Rosai-dorfman disease presenting in the parotid gland with features of IgG4-related sclerosing disease. Arch Otolaryngol Head Neck Surg. 2011;137(7):705–8.PubMedCrossRef Chen TD, Lee LY. Rosai-dorfman disease presenting in the parotid gland with features of IgG4-related sclerosing disease. Arch Otolaryngol Head Neck Surg. 2011;137(7):705–8.PubMedCrossRef
11.
Zurück zum Zitat Cha Y, Yang W, Park S, Koo J. Rosai-dorfman disease in the breast with increased IgG4 expressing plasma cells: a case report. Korean J Pathol. 2012;46(5):489–93.PubMedCrossRef Cha Y, Yang W, Park S, Koo J. Rosai-dorfman disease in the breast with increased IgG4 expressing plasma cells: a case report. Korean J Pathol. 2012;46(5):489–93.PubMedCrossRef
12.
Zurück zum Zitat Richter J, Strange R, Fisher S, Miller D, Delvecchio D. Extranodal rosai-dorfman disease presenting as a cardiac mass in an adult: report of a unique case and lack of relationship to IgG4-related sclerosing lesions. Hum Pathol. 2010;41(2):297–301.PubMedCrossRef Richter J, Strange R, Fisher S, Miller D, Delvecchio D. Extranodal rosai-dorfman disease presenting as a cardiac mass in an adult: report of a unique case and lack of relationship to IgG4-related sclerosing lesions. Hum Pathol. 2010;41(2):297–301.PubMedCrossRef
13.
Zurück zum Zitat Hamano H, Kawa S, Horiuchi A, Unno H, Furuya N, Akamatsu T, et al. High serum IgG4 concentrations in patients with sclerosing pancreatitis. N Engl J Med. 2001;344(10):732–8.PubMedCrossRef Hamano H, Kawa S, Horiuchi A, Unno H, Furuya N, Akamatsu T, et al. High serum IgG4 concentrations in patients with sclerosing pancreatitis. N Engl J Med. 2001;344(10):732–8.PubMedCrossRef
14.
Zurück zum Zitat Kamisawa T, Funata N, Hayashi Y, Tsuruta K, Okamoto A, Amemiya K, et al. Close relationship between autoimmune pancreatitis and multifocal fibrosclerosis. Gut. 2003;52(5):683–7.PubMedCrossRef Kamisawa T, Funata N, Hayashi Y, Tsuruta K, Okamoto A, Amemiya K, et al. Close relationship between autoimmune pancreatitis and multifocal fibrosclerosis. Gut. 2003;52(5):683–7.PubMedCrossRef
15.
Zurück zum Zitat Shrestha B, Sekiguchi H, Colby T, Graziano P, Aubry MC, Smyrk TC, et al. Distinctive pulmonary histopathology with increased IgG4-positive plasma cells in patients with autoimmune pancreatitis: report of 6 and 12 cases with similar histopathology. Am J Surg Pathol. 2009;33(10):1450–62.PubMedCrossRef Shrestha B, Sekiguchi H, Colby T, Graziano P, Aubry MC, Smyrk TC, et al. Distinctive pulmonary histopathology with increased IgG4-positive plasma cells in patients with autoimmune pancreatitis: report of 6 and 12 cases with similar histopathology. Am J Surg Pathol. 2009;33(10):1450–62.PubMedCrossRef
16.
Zurück zum Zitat Zen Y, Harada K, Sasaki M, Sato Y, Tsuneyama K, Haratake J, et al. IgG4-related sclerosing cholangitis with and without hepatic inflammatory pseudotumor, and sclerosing pancreatitis-associated sclerosing cholangitis: do they belong to a spectrum of sclerosing pancreatitis? Am J Surg Pathol. 2004;28(9):1193–203.PubMedCrossRef Zen Y, Harada K, Sasaki M, Sato Y, Tsuneyama K, Haratake J, et al. IgG4-related sclerosing cholangitis with and without hepatic inflammatory pseudotumor, and sclerosing pancreatitis-associated sclerosing cholangitis: do they belong to a spectrum of sclerosing pancreatitis? Am J Surg Pathol. 2004;28(9):1193–203.PubMedCrossRef
17.
Zurück zum Zitat Yoneda K, Murata K, Katayama K, Ishikawa E, Fuke H, Yamamoto N, et al. Tubulointerstitial nephritis associated with IgG4-related autoimmune disease. Am J Kidney Dis. 2007;50(3):455–62.PubMedCrossRef Yoneda K, Murata K, Katayama K, Ishikawa E, Fuke H, Yamamoto N, et al. Tubulointerstitial nephritis associated with IgG4-related autoimmune disease. Am J Kidney Dis. 2007;50(3):455–62.PubMedCrossRef
18.
Zurück zum Zitat Chan S, Cheuk W, Chan K, Chan J. IgG4-related sclerosing pachymeningitis: a previously unrecognized form of central nervous system involvement in IgG4-related sclerosing disease. Am J Surg Pathol. 2009;33(8):1249–52.PubMedCrossRef Chan S, Cheuk W, Chan K, Chan J. IgG4-related sclerosing pachymeningitis: a previously unrecognized form of central nervous system involvement in IgG4-related sclerosing disease. Am J Surg Pathol. 2009;33(8):1249–52.PubMedCrossRef
19.
Zurück zum Zitat Choi S, Lee S, Khang S, Jeon S. IgG4-related sclerosing pachymeningitis causing spinal cord compression. Neurology. 2010;75(15):1388–90.PubMedCrossRef Choi S, Lee S, Khang S, Jeon S. IgG4-related sclerosing pachymeningitis causing spinal cord compression. Neurology. 2010;75(15):1388–90.PubMedCrossRef
20.
Zurück zum Zitat Kosakai A, Ito D, Yamada S, Ideta S, Ota Y, Suzuki N. A case of definite IgG4-related pachymeningitis. Neurology. 2010;75(15):1390–2.PubMedCrossRef Kosakai A, Ito D, Yamada S, Ideta S, Ota Y, Suzuki N. A case of definite IgG4-related pachymeningitis. Neurology. 2010;75(15):1390–2.PubMedCrossRef
21.
Zurück zum Zitat Lindstrom KM, Cousar JB, Lopes M. IgG4-related meningeal disease: clinico-pathological features and proposal for diagnostic criteria. Acta Neuropathol. 2010;120(6):765–76.PubMedCrossRef Lindstrom KM, Cousar JB, Lopes M. IgG4-related meningeal disease: clinico-pathological features and proposal for diagnostic criteria. Acta Neuropathol. 2010;120(6):765–76.PubMedCrossRef
22.
Zurück zum Zitat Moss HE, Mejico L, de la Roza G, Coyne TM, Galetta SL, Liu G. IgG4-related inflammatory pseudotumor of the central nervous system responsive to mycophenolate mofetil. J Neurol Sci. 2012;318(1–2):31–5.PubMedCrossRef Moss HE, Mejico L, de la Roza G, Coyne TM, Galetta SL, Liu G. IgG4-related inflammatory pseudotumor of the central nervous system responsive to mycophenolate mofetil. J Neurol Sci. 2012;318(1–2):31–5.PubMedCrossRef
23.
Zurück zum Zitat Katsura M, Morita A, Horiuchi H, Ohtomo K, Machida T. IgG4-related inflammatory pseudotumor of the trigeminal nerve: another component of IgG4-related sclerosing disease? AJNR Am J Neuroradiol. 2011;32(8):E150–2.PubMedCrossRef Katsura M, Morita A, Horiuchi H, Ohtomo K, Machida T. IgG4-related inflammatory pseudotumor of the trigeminal nerve: another component of IgG4-related sclerosing disease? AJNR Am J Neuroradiol. 2011;32(8):E150–2.PubMedCrossRef
Metadaten
Titel
Freiburg Neuropathology Case Conference: A Partially Calcified, Dura-based Tumour of the Frontal Lobe
verfasst von
C. A. Taschner
O. Staszewski
R. Jabbarli
A. Keuler
M. Prinz
Publikationsdatum
01.03.2013
Verlag
Springer-Verlag
Erschienen in
Clinical Neuroradiology / Ausgabe 1/2013
Print ISSN: 1869-1439
Elektronische ISSN: 1869-1447
DOI
https://doi.org/10.1007/s00062-013-0199-9

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