Complete remission of intracranial lymphocytic vasculitis following resection: illustrative case

To the best of the authors' knowledge, this is the first reported case of a solitary intracranial LV that was successfully managed with resection alone. This case suggests that resection may be a possible therapeutic option for select patients, particularly those with solitary lesions and negative autoimmune profiles. FDG-PET and fluciclovine-PET with MRI may provide supportive information for distinguishing LV from malignant neoplastic tumors. https://thejns.org/doi/10.3171/CASE25705.

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Publication Details

Journal
Journal of Neurosurgery Case Lessons
Published
2026-01-19
DOI
https://doi.org/10.3171/case25705
Primary Topic
CNS Lymphoma Diagnosis and Treatment
Type
article
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article

Complete remission of intracranial lymphocytic vasculitis following resection: illustrative case

Keisuke Morihara, Takeaki Kawai, Fumiaki Tanaka, Osamu Yazawa et al.
Journal of Neurosurgery Case Lessons
CNS Lymphoma Diagnosis and Treatment
article

Complete remission of intracranial lymphocytic vasculitis following resection: illustrative case

Keisuke Morihara, Takeaki Kawai, Fumiaki Tanaka, Osamu Yazawa, Naoki Ikegaya, Daisuke Utsunomiya, Ayumi Kato, Jotaro Harada, Tetsuya Yamamoto, Shoji Yamanaka, Satoshi Fujii, Kensuke Tateishi
article en

Abstract

To the best of the authors' knowledge, this is the first reported case of a solitary intracranial LV that was successfully managed with resection alone. This case suggests that resection may be a possible therapeutic option for select patients, particularly those with solitary lesions and negative autoimmune profiles. FDG-PET and fluciclovine-PET with MRI may provide supportive information for distinguishing LV from malignant neoplastic tumors. https://thejns.org/doi/10.3171/CASE25705.

Journal of Neurosurgery Case LessonsVol. 11(3)
Yokohama City University Hospital (JP), Yokohama City University (JP)
Good health and well-being
Openalex Percentile: Top 83%
CNS Lymphoma Diagnosis and Treatment
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Complete remission of intracranial lymphocytic vasculitis following resection: illustrative case — Keisuke Morihara, Takeaki Kawai, et al. · Journal of Neurosurgery Case Lessons (2026) | TGRS Research Map | TGRS