Sphenoid wing inflammatory pseudotumor mimicking a clinoidal meningioma: case report and review of the literature

Surgical Neurology
Manish K KasliwalBhawani S Sharma

Abstract

Inflammatory pseudotumor is a nonneoplastic process of unknown etiology most frequently involving the lungs and orbits. Primary intracranial inflammatory pseudotumors are exceptionally rare. The authors report a rare case of clinoidal inflammatory pseudotumor mimicking a medial sphenoid wing meningioma. A 24-year-old woman presented with visual diminution and proptosis in the left eye for one and a half years. Imaging revealed a medial sphenoid wing mass, which was surgically decompressed. Histopathology confirmed the diagnosis of inflammatory pseudotumor after which she was treated with steroids. The patient is doing well at 3 months' follow-up with resolution of proptosis and no further diminution of vision. Inflammatory pseudotumors can mimic a malignant tumor both radiologically and clinically. The treatment options consist of surgery, high-dose steroids, irradiation, and chemotherapeutic agents with variable therapeutic response. Intracranial involvement due to inflammatory pseudotumor is exceptionally rare. The importance of recognizing and appropriately diagnosing this rare intracranial pathology lies in prognostication and avoidance of overzealous treatment.

References

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Citations

Apr 11, 2013·Case Reports in Otolaryngology·Jean-Philippe MaireVincent Darrouzet
Dec 3, 2011·Neurosurgical Focus·Roukoz ChamounWilliam T Couldwell
Jun 4, 2010·The Journal of Laryngology and Otology·L MastersonE Rytina
Nov 8, 2014·The Laryngoscope·Stuti V DesaiJean Anderson Eloy
Nov 7, 2019·Journal of Endocrinological Investigation·M MarinòC Marcocci
Aug 21, 2020·Journal of Neurological Surgery Reports·Elena d'AvellaLuigi Maria Cavallo

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