Foreign body granuloma mimicking intracranial meningioma

Case report and review of the literature

Robert P. Feldman, Alvin Marcovici, Miguel Suarez, James Tait Goodrich

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

OBJECTIVE AND IMPORTANCE: Intracranial foreign body granulomas are rare. We describe a case of an intracranial foreign body granuloma found in a 17- year-old female patient 9 years after she underwent a craniotomy for a tumor of unknown type. Postoperative imaging of patients who have undergone neurosurgical procedures can often reveal enhancing masses, and foreign body granuloma should be included in the differential diagnosis. CLINICAL PRESENTATION: The patient presented with a history of developmental delay, panhypopituitarism, and chronic headache. Admission resulted from an acute increase in the severity of her headache. INTERVENTION: Imaging studies, including computed tomography and magnetic resonance imaging, demonstrated a 1.5 x 2 cm round, enhancing anterior interhemispheric mass, appearing to arise from the falx and causing mild mass effect. A nonenhancing cystic mass was also noted in the suprasellar region but was without mass effect. The patient underwent a craniotomy and removal of the anterior mass without complication, and her headache resolved. A pathological examination of the specimen confirmed the diagnosis of foreign body granuloma. CONCLUSION: Although rare, foreign body granuloma should be included in the differential diagnosis of previously operated intracranial masses. The importance of accurate historical information and guidelines that may assist in diagnosis are discussed.

Original languageEnglish (US)
Pages (from-to)855-858
Number of pages4
JournalNeurosurgery
Volume44
Issue number4
StatePublished - Apr 1999

Fingerprint

Foreign-Body Granuloma
Meningioma
Craniotomy
Headache
Differential Diagnosis
Neurosurgical Procedures
Headache Disorders
Tomography
Magnetic Resonance Imaging
Guidelines
Neoplasms

Keywords

  • Brain
  • Foreign body
  • Granuloma
  • Meningioma
  • Postoperative complications

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Foreign body granuloma mimicking intracranial meningioma : Case report and review of the literature. / Feldman, Robert P.; Marcovici, Alvin; Suarez, Miguel; Goodrich, James Tait.

In: Neurosurgery, Vol. 44, No. 4, 04.1999, p. 855-858.

Research output: Contribution to journalArticle

Feldman, Robert P. ; Marcovici, Alvin ; Suarez, Miguel ; Goodrich, James Tait. / Foreign body granuloma mimicking intracranial meningioma : Case report and review of the literature. In: Neurosurgery. 1999 ; Vol. 44, No. 4. pp. 855-858.
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