MR imaging features of Lhermitte-Duclos disease: Case reports and literature review

Medicine (Baltimore). 2022 Jan 28;101(4):e28667. doi: 10.1097/MD.0000000000028667.

Abstract

Rationale: Lhermitte-Duclos disease (LDD) is a rare tumor of the nervous system with a typical "tiger striped'" sign, but its features on functional magnetic resonance imaging (fMRI) are still inconclusive.

Patient concerns: To explore the characteristics of LDDs using fMRI.

Diagnoses: We report 3 cases of pathologically confirmed LDDs.

Interventions: Three patients underwent brain tumor surgery.

Outcomes: All the patients had a good prognosis.

Lessons: Magnetic resonance spectroscopy and susceptibility-weighted imaging combined with conventional MRI can be used to better diagnose LDDs. Perfusion-weighted imaging is not specific for distinguishing cerebellar tumors. The combined application of fMRI and conventional MRI can improve the accuracy of LDD diagnoses.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Cerebellar Neoplasms / diagnostic imaging
  • Cerebellar Neoplasms / surgery
  • Cerebellum / diagnostic imaging*
  • Hamartoma Syndrome, Multiple / diagnostic imaging*
  • Humans
  • Magnetic Resonance Imaging / methods*
  • Magnetic Resonance Spectroscopy*
  • Male