An Unusual Intracranial Inflammatory Process of Unknown Origin

Abstract

Citation Badran K, Abdelsadq M, Abbas A, We present an unusual case of steroid responsive inflammatory condition, involving sellar su- et al. An unusual intracranial inflam- prasellar region with further ependymal lesions. This is complicated by previous surgery due to matory process of unknown origin. pituitary adenoma, not thought to related to inflammatory process. The patient responded well Neuro Open J. 2017; 4(1): 25-30. doi: to steroids, but deteriorated due to development of hydrocephalus caused by obstruction due to adhesions. Despite extensive literature review and consideration of all known pathological conditions, it was concluded that the condition represented another inflammatory entity not yet fully characterised. The case also highlights that despite the steroid responsive nature of the condition, the ependymal involvement can result in progressive acute obstructive hydroceph- alus with clinical deterioration. This case also suggests close follow-up and early imaging for early detection and treatment of this complication.