At surgery, the lesion was resected; its gross appearances were thought to be in keeping with the diagnosis of meningioma.(A) Sagittal and (B) coronal MRI with gadolinium showing solitary mass lesion attached to dura with uniform enhancement of the lesion but no meningeal enhancement.Open in new tabFigure 1(A) Sagittal and (B) coronal MRI with gadolinium showing solitary mass lesion attached to dura with uniform enhancement of the lesion but no meningeal enhancement.Histological examination of the mass disclosed multiple small granulomata of epithelioid macrophages with occasional giant cells and lymphocytes, with no foci of necrosis. Stains were negative for acid fast bacilli and fungi. A pathological diagnosis of granulomatous pachymeningitis was made.
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