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Torcular Erdheim–Chester disease
  1. R Gazzeri1,
  2. M Galarza2,
  3. R Amoroso2,
  4. C De Bonis2,
  5. V D’Angelo2
  1. 1Department of Neurosurgery, San Giovanni Addolorata Hospital, Rome, Italy
  2. 2Department of Neurosurgery, Casa Sollievo della Sofferenza Hospital, San Giovanni Rotondo, Italy
  1. Correspondence to:
 R Gazzeri
 Via O Tommasini 13, 00162 Rome, Italy; robertogazzeri{at}

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Erdheim–Chester disease (ECD) is a rare non-Langherans histiocytosis associated with multiple organ systems. Typical features include osteosclerotic lesions in the metaphysis of long tubular bones, exophthalmia, pulmonary and retroperitoneal fibrosis,1 which highlight the diagnostic difficulties that ECD presents. Intracranial association is exceptional and its treatment is controversial.2

We present the case of a 52-year-old man with a history of progressive visual deficit, pseudotumour cerebrums and diabetes insipidus, who presented …

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  • Competing interests: None declared.