Solitary sarcoid granuloma of the cerebellopontine angle: A case report

W. Jeffrey Elias, Giuseppe Lanzino, Margaret Reitmeyer, John A. Jane

Research output: Contribution to journalArticlepeer-review

20 Scopus citations

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 languageEnglish (US)
Pages (from-to)185-190
Number of pages6
JournalSurgical Neurology
Volume51
Issue number2
DOIs
StatePublished - Feb 1 1999

Keywords

  • Cerebellopontine angle
  • Granuloma
  • Meningioma
  • Neurosarcoidosis
  • Sarcoidosis

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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