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Case Reports
. 2006 Jun;162(6-7):757-9.
doi: 10.1016/s0035-3787(06)75076-7.

[Kahler's disease presenting with a solitary cranial vault plasmacytoma]

[Article in French]
M Fikri  1 , S Semlali, A El Quessar, M R El Hassani, N Chakir, N Boukhrissi, M Jiddane
Affiliations
Case Reports

[Kahler's disease presenting with a solitary cranial vault plasmacytoma]

[Article in French]
M Fikri et al. Rev Neurol (Paris). 2006 Jun.

Abstract

Introduction: Solitary plasmocytoma is rarely located in the cranial vault. Usually observed, in elderly patients, occurrence during adolescence is extremely rare. We report the case of a 16-year-old patient presenting a cranial vault solitary plasmocytoma which revealed Kahler disease.

Case report: A 16-year-old patient consulted for a frontal tumefaction becoming painful with diplopia. The cranio-encephalic radiography and the MRI showed a tumoral process involving cranial vault; biopsy revealed a solitary plasmocytoma. Search for multiple myeloma was negative. Six months later, a disease of Kahler was declared.

Conclusion: Clinical and biological follow-up of cranial plasmocytoma is necessary, because progression to multiple myeloma is possible as in our observation. Imaging and particularly MRI are needed to specify the axial seat of the tumoral process and its relationship with the nervous and vascular structures.

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