Related Experiment Videos
[Intracranial plasma cell granuloma: a case report]
No Shinkei Geka. Neurological Surgery
|July 1, 1995
Summary
Intracranial plasma cell granuloma is a rare brain tumor, often misdiagnosed as meningioma. This case highlights the importance of considering plasma cell granuloma in the differential diagnosis of suprasellar masses.
Area of Science:
- Neurology
- Pathology
- Neurosurgery
Background:
- Plasma cell granuloma (PCG) is uncommon in the central nervous system, with fewer than ten reported cases.
- PCG typically affects the respiratory tract, making intracranial presentation exceedingly rare.
Observation:
- A 69-year-old male presented with progressive visual disturbance due to a suprasellar mass.
- Initial CT imaging suggested a tuberculum sellae meningioma, with significant tumor growth over a decade.
- Surgical removal revealed the mass to be an intracranial plasma cell granuloma.
Findings:
- The preoperative diagnosis for intracranial PCG is frequently meningioma.
- This case underscores the diagnostic challenge posed by PCG, mimicking more common intracranial tumors.
- Radiological findings (CT and MRI) are presented for this rare lesion.
Implications:
- Intracranial plasma cell granuloma should be included in the differential diagnosis for suprasellar masses, especially those initially suspected to be meningiomas.
- Awareness of this rare entity is crucial for accurate preoperative diagnosis and appropriate patient management.
- Further research into the pathogenesis and optimal treatment of intracranial PCG may be warranted.