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Primary intracerebral Hodgkin's disease mimicking meningioma: case report
M D Johnson1, M C Kinney, B W Scheithauer
1Department of Pathology, Vanderbilt Medical School and Nashville Veterans Administration Medical Center, Nashville, Tennessee 32732, USA.
Objective And Importance:
A rare case of dura-based primary cerebral Hodgkin's disease clinically and radiographically indistinguishable from a meningioma is described.
Clinical Presentation:
A 55-year-old immunocompetent woman presented with headaches and ataxia. Magnetic resonance images demonstrated a circumscribed diffusely enhancing mass with a dural tail attached to the cerebellar tentorium.
Intervention:
Operative inspection also suggested a meningioma, but a frozen section of the firm mass revealed an inflammatory lesion. Subsequent pathological analysis demonstrated Hodgkin's disease, nodular sclerosing type. An extensive workup revealed no systemic disease.
Conclusion:
This case illustrates the rare occurrence of primary intracranial Hodgkin's disease and its mimicry of meningioma.
