Intracranial Rosai Dorfman disease Ó? A rare differential diagnosis of multiple meningiomas: case report

Rosai Dorfman Destombes (RDD) disease is a non-Langerhans histiocytosis.The central nervous system is affected in < 5% of cases.We report the case of a 59-year-old man, who began 8 months before admission with headache, diminished visual acuity in the temporal hemifields, hyposmia, and seizures.Magnetic resonance imaging showed three midline skull-base lesions in anterior, media, and posterior fossae.We performed a complete resection of symptomatic lesions using a bifrontal craniotomy.The histopathological analysis determined RDD, therefore, we started steroid treatment.Our case description is due to the diagnosis and location, one of the rarest reported to date in the literature.