Primary intracerebral Hodgkin's disease mimicking meningioma: case report.
OBJECTIVE
A rare case of dura-based primary cerebral Hodgkin's disease clinically and radiographically indistinguishable from a meningioma is described.


METHODS
A 55-year-old immunocompetent woman presented with headaches and ataxia. Magnetic resonance images demonstrated a circumscribed diffusely enhancing mass with a dural tail attached to the cerebellar tentorium.


METHODS
Operative inspection also suggested a meningioma, but a frozen section of the firm mass revealed an inflammatory lesion. Subsequent pathological analysis demonstrated Hodgkin's disease, nodular sclerosing type. An extensive workup revealed no systemic disease.


CONCLUSIONS
This case illustrates the rare occurrence of primary intracranial Hodgkin's disease and its mimicry of meningioma.
Johnson
M D
MD
Department of Pathology, Vanderbilt Medical School and Nashville Veterans Administration Medical Center, Nashville, Tennessee 32732, USA.
Kinney
M C
MC
Scheithauer
B W
BW
Briley
R J
RJ
Hamilton
K
K
McPherson
W F
WF
Barton
J H
JH
D001932:Brain Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D005260:Female; D006689:Hodgkin Disease / Q000175:diagnosis* / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008577:Meningeal Neoplasms / Q000175:diagnosis*; D008579:Meningioma / Q000175:diagnosis*; D008875:Middle Aged