Spinal epidural Rosai-Dorfman disease preceding by relapsing uveitis: A case report with literature review

Abstract

Study design: Case report. Setting: Tertiary referral center hospital in Taiwan. Objectives: To report a case of spinal Rosai-Dorfman disease (RDD) presenting with paraparesis and also preceding by relapsing uveitis for 6 months. A thoracic laminectomy was performed to remove the solid mass. The pathological diagnosis reveals infiltrating histiocytes, emperipolesis and positivity for S-100. There is no recurrence 1 year later with MR imaging. Conclusions: The relapsing idiopathic uveitis may be a prodrome for this unusual disease, because RDD is associated closely to defective immunogical response. Early and accurate diagnosis of CNS RDD may reverse the neurologic deficits by early decompression. © 2007 International Spinal Cord Society All rights reserved.