Abstract |
A 40-year-old man presented with a left optic neuropathy. Magnetic resonance imaging demonstrated a contrast-enhancing mass along the course of the left trigeminal nerve and in the region of the left cavernous sinus with suprasellar extension. Preoperatively, he had a serum polyclonal gammopathy. Pathologic diagnosis was an intracranial plasma cell granuloma. The patient responded to high-dose steroids with resolution of his optic neuropathy, marked decrease in the size of the mass, and resolution of the serum polyclonal gammopathy. Intracranial plasma cell granuloma is a rare lesion; only 11 cases have been described in the literature. Almost half of the patients presented with vision loss as their chief complaint.
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Authors | S R Kodsi, B R Younge, J A Leavitt, R J Campbell, B W Scheithauer |
Journal | Survey of ophthalmology
(Surv Ophthalmol)
1993 Jul-Aug
Vol. 38
Issue 1
Pg. 70-4
ISSN: 0039-6257 [Print] United States |
PMID | 8235996
(Publication Type: Case Reports, Journal Article)
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Chemical References |
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Topics |
- Adult
- Brain Diseases
(diagnosis, drug therapy, surgery)
- Diagnosis, Differential
- Granuloma, Plasma Cell
(diagnosis, drug therapy, surgery)
- Humans
- Magnetic Resonance Imaging
- Male
- Optic Nerve Diseases
(diagnosis, drug therapy)
- Prednisone
(therapeutic use)
- Trigeminal Nerve
(pathology)
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