A patient with primary intracranial granuloma with difficulty in differential diagnosis: A case report and literature review
Wentao Liang,
Zhou Qi,
Hu Yang,
Liang Niu,
Qiao Li,
Shiwen Guo,
Yawen Pan
Affiliations
Wentao Liang
Department of Neurosurgery, Lanzhou University Second Hospital, Lanzhou, Gansu, 730030, China; Key Laboratory of Neurology of Gansu Province, Lanzhou, Gansu, 730030, China
Zhou Qi
Department of Neurosurgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, China
Hu Yang
Department of Neurosurgery, Lanzhou University Second Hospital, Lanzhou, Gansu, 730030, China; Key Laboratory of Neurology of Gansu Province, Lanzhou, Gansu, 730030, China
Liang Niu
Department of Neurosurgery, Lanzhou University Second Hospital, Lanzhou, Gansu, 730030, China; Key Laboratory of Neurology of Gansu Province, Lanzhou, Gansu, 730030, China
Qiao Li
Department of Neurosurgery, Lanzhou University Second Hospital, Lanzhou, Gansu, 730030, China; Key Laboratory of Neurology of Gansu Province, Lanzhou, Gansu, 730030, China
Shiwen Guo
Department of Neurosurgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, China; Corresponding author. Department of Neurosurgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shanxi, 710061, China.
Yawen Pan
Department of Neurosurgery, Lanzhou University Second Hospital, Lanzhou, Gansu, 730030, China; Key Laboratory of Neurology of Gansu Province, Lanzhou, Gansu, 730030, China; Corresponding author. Department of Neurosurgery, Lanzhou University Second Hospital, Lanzhou, Gansu, 730030, China.
There are few reports about primary intracranial granulomas without an identifiable infectious history. A 25-year-old male with intracranial granuloma. The patient presented with a history of tinnitus with intermittent headache for 1 week. Consequently, MRI showed pronounced and extensive enhancement lesions in the left frontal lobe involved in the cerebral longitudinal fissure cistern and the inside of the right frontal lobe, accompanied by a moderate degree of oedema; The lesion was a pilomyxoid astrocytoma preoperatively. Following a systemic examination, gross total resection of the lesion was performed, and postoperative pathological examination revealed the presence of inflammatory lesions. The patient exhibited notable symptom amelioration post-surgery, leading to discharge after the treatment. Subsequently, a sequential treatment involving steroid therapy was administered, resulting in successful patient recovery.
