Primary angiitis of the central nervous system mimicking a cerebellar tumor

Br J Neurosurg. 2021 Jun;35(3):367-369. doi: 10.1080/02688697.2018.1464122. Epub 2018 Apr 14.

Abstract

Primary angiitis of the central nervous system (PACNS), is a rare and poorly understood disease mainly characterized by multifocal segmental inflammation of the small and medium vessels of the central nervous system. Most PACNS are multiple lesions, occurring in the supratentorial subcortical and deep white matter, and only a few cases present as a tumor-like mass lesion. Herein, we describe an extremely rare case of PACNS occurred in the cerebellum, which mimicked a cerebellar tumor. To the best of our knowledge, this is the first reported case of cerebellar tumor-like PACNS proved by histopathological examination.

Keywords: Primary angiitis of the central nervous system; granulomatous vasculitis; lymphocytic vasculitis; tumor-like.

Publication types

  • Case Reports

MeSH terms

  • Central Nervous System
  • Cerebellar Neoplasms* / diagnostic imaging
  • Cerebellar Neoplasms* / surgery
  • Cerebellum / diagnostic imaging
  • Humans
  • Vasculitis, Central Nervous System* / diagnostic imaging
  • Vasculitis, Central Nervous System* / drug therapy

Supplementary concepts

  • Primary angiitis of the central nervous system