Erdheim-Chester Disease Mimicking Multiple Meningiomas Syndrome

  • Johnson M
  • Aulino J
  • Jagasia M
 et al. 
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We describe a rare case of non-Langerhans histiocytosis, consistent with Erdheim-Chester disease (ECD), which presented with lesions resembling multiple meningiomas. The patient was initially evaluated for migraine headaches. Initial MR imaging demonstrated a parasellar mass and a second mass near the torcula considered to represent meningiomas. Within 1 year, he developed bilateral orbital lesions surrounding both optic nerves, which were also considered meningiomas. Biopsy of one orbital mass revealed a non-Langerhans histiocytosis. Subsequently, soft tissue masses, a pericardial effusion, and bone lesions consistent with ECD were identified.

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  • Mahlon D. Johnson

  • Joseph P. Aulino

  • Madan Jagasia

  • Louise A. Mawn

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