Abstract
BACKGROUND: Sarcoidosis involves the nervous system about 5% of the time and usually manifests as a granulomatous inflammation of the basal meninges and hypothalmus. Cases which are strictly isolated to the central nervous system occur infrequently; rarely, they may present as an intracranial mass. METHODS: We present the case of a solitary sarcoid granuloma at the cerebellopontine angle in a 42-year-old female who presented with headache, facial numbness, and hearing loss. RESULTS: A suboccipital craniectomy was performed and the lesion was noted to be grossly adherent to the lower cranial nerves and skull base. The lesion was misdiagnosed as a meningioma with preoperative magnetic resonance imaging and intraoperative histology, and perhaps additional morbidity resulted. CONCLUSION: We present this case in order to demonstrate the importance of differentiating these dural-based lesions and propose that cases of neurosarcoidosis presenting as a solitary granuloma be treated with surgical debulking and immunosuppression.
Original language | English (US) |
---|---|
Pages (from-to) | 185-190 |
Number of pages | 6 |
Journal | Surgical Neurology |
Volume | 51 |
Issue number | 2 |
DOIs | |
State | Published - Feb 1999 |
Keywords
- Cerebellopontine angle
- Granuloma
- Meningioma
- Neurosarcoidosis
- Sarcoidosis
ASJC Scopus subject areas
- Surgery
- Clinical Neurology