CC BY-NC-ND 4.0 · Asian Journal of Oncology 2022; 08(03): 136-139
DOI: 10.1055/s-0042-1748638
Case Report

A Radiological Curiosity of a Rare Diagnosis: Lhermitte-Duclos Disease

Wilson Bizimana
1   Central Radiology Department, UHC Ibn SINA, Mohamed V. University, Rabat, Morocco
,
Rita Oze Koudouhonon
1   Central Radiology Department, UHC Ibn SINA, Mohamed V. University, Rabat, Morocco
,
Suzanne Rita Aubin Igombe
1   Central Radiology Department, UHC Ibn SINA, Mohamed V. University, Rabat, Morocco
,
Waïs A. Amarkak
1   Central Radiology Department, UHC Ibn SINA, Mohamed V. University, Rabat, Morocco
,
Khadija Benelhosni
1   Central Radiology Department, UHC Ibn SINA, Mohamed V. University, Rabat, Morocco
,
Ittimade Nassar
1   Central Radiology Department, UHC Ibn SINA, Mohamed V. University, Rabat, Morocco
,
Nabil Billah Moatassim
1   Central Radiology Department, UHC Ibn SINA, Mohamed V. University, Rabat, Morocco
› Author Affiliations

Abstract

Lhermitte–Duclos disease (LDD) is a rare cerebellar lesion, described in 1920 by two French physicians: Lhermitte and Duclos. The clinical presentation is usually made of neurological symptoms. This lesion is characterized by a hamartomatous lesion in the posterior fossa. Mainly diagnosed by MRI, when it comes to preoperative, the T2-weightened MRI demonstrates the classical “tiger-striped” pattern. The definitive diagnosis, nonetheless, is histopathological. The treatment for LDD consists of surgical decompression or excision. We present here a rare case of a woman who developed neurological symptoms that led to LDD diagnosis to describe protocol MRI imaging, the main findings and their pathophysiological meanings.

Authors' Contributions

W.B. contributed toward writing the manuscript and organizing images and corresponding author's submission. R.O.K.G. contributed to radiological image search and proofreading of the manuscript. S.R.A.I. and W.A.A. contributed toward proofreading and approval of the manuscript. K.B. reviewed and approved the manuscript. N.B.M. did the conception of input, manuscript reviewing, and final approval of the manuscript. I.N. supervised and approved the final manuscript.




Publication History

Article published online:
22 June 2022

© 2022. Spring Hope Cancer Foundation & Young Oncologist Group of Asia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Walke V, Bijwe S, D' Costa G. et al. Lhermitte—Duclos disease in a young adult: rare entity. Iran J Pathol 2013; 8 (03) 194-198
  • 2 Uygur S, Coelho de Andrade M, Almeida Ito Brum CD. et al. Lhermitte-Duclos disease images in neurology Arq. Neuro-Psiquiatr 2014; 72 (05) 392-393
  • 3 Otheman Y, Aalouane R, Aarab C, Rammouz I. A case report of Lhermitte-Duclos disease revealed by psychiatric disturbances. Ann Gen Psychiatry 2017; 16: 24
  • 4 Tuli S, Provias JP, Bernstein M. Lhermitte-Duclos disease: literature review and novel treatment strategy. Can J Neurol Sci 1997; 24 (02) 155-160
  • 5 Biswas SN, Chakraborty PP, Patra S. Lhermitte-Duclos disease. BMJ Case Rep 2016; 2016: bcr2015214235
  • 6 Shinagare AB, Patil NK, Sorte SZ. Case 144: dysplastic cerebellar gangliocytoma (Lhermitte-Duclos disease). Radiology 2009; 251 (01) 298-303
  • 7 Vieira de Rezende Pinto WB, Sgobbi de Souza PV. Brain MRI features in Lhermitte-Duclos disease. Images in neurology Arq. Neuro-Psiquiatr 2014; 72 (08) 645
  • 8 Amaya H, Salvador E, Patricia M. Lhermitte-Duclos Disease: Typical MRI Findings. Eurorad; 2018
  • 9 Borni M, Kammoun B, Kolsi F, Abdelmouleh S, Boudawara MZ. The Lhermitte-Duclos disease: a rare bilateral cerebellar location of a rare pathology. Pan Afr Med J 2019; 33: 118
  • 10 Rheinboldt M, Delproposto Z, Blase J. et al. Acute presentation of Lhermitte-Duclos disease in adult patient in association with Cowden syndrome. Appl Radiol 2016; 45: 28-31
  • 11 Zhou L, Luo L, Hui X, You C, Yang Y, Xu J. Three adolescents with Lhermitte-Duclos disease. J Clin Neurosci 2009; 16 (01) 124-127
  • 12 Haris AA, Chandra SR, Peethambaran B. Lhermitte-Duclos disease. Neurol India 2008; 56 (04) 495-496
  • 13 Bayat MRH, Sarawan J. findings in Lhermitte-Duclos disease. J Radiol 2005; 9 (01) 30-31
  • 14 Moenninghoff C, Kraff O, Schlamann M, Ladd ME, Katsarava Z, Gizewski ER. Assessing a dysplastic cerebellar gangliocytoma (Lhermitte-Duclos disease) with 7T MR imaging. Korean J Radiol 2010; 11 (02) 244-248
  • 15 Smith RR, Grossman RI, Goldberg HI, Hackney DB, Bilaniuk LT, Zimmerman RA. MR imaging of Lhermitte-Duclos disease: a case report. AJNR Am J Neuroradiol 1989; 10 (01) 187-189
  • 16 Van Lieshout A, Gielens MP, Noordveld RB. Lhermitte-Duclos disease. JBR-BTR 2014; 97 (03) 178-179
  • 17 Dias Veloso V, Carvalho V, Rezende N. et al. Lhermitte-Duclos disease associated with Cowden syndrome: a case report of a rare genetic hamartomatous disorder. Neurology 2020; 94: 750
  • 18 Khandpur U, Huntoon K, Smith-Cohn M, Shaw A, Elder JB. Bilateral recurrent dysplastic cerebellar gangliocytoma (Lhermitte-Duclos Disease) in Cowden syndrome: a case report and literature review. World Neurosurg 2019; 127: 319-325
  • 19 Longy M. Lhermitte-Duclos disease. Atlas Genet Cytogenet Oncol Haematol 2002; 6 (01) 58-58
  • 20 Landeiro JA, Acioly MA. Lhermitte-Duclos disease. Images in neurology. Arq Neuropsquiatr 2014; 72 (05) 392-393