Primary intracerebral Hodgkin's disease mimicking meningioma: case report

Abstract

Objective and importance: A rare case of dura-based primary cerebral Hodgkin's disease clinically and radiographically indistinguishable from a meningioma is described.

Clinical presentation: 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.

Intervention: 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.

Conclusion: This case illustrates the rare occurrence of primary intracranial Hodgkin's disease and its mimicry of meningioma.