====== Falx meningioma differential diagnosis ====== There are several tumors that grow near the [[falx]] and may mimic the falcine meningiomas. [[Osteochondroma]]s, [[chondrosarcoma]]s, [[solitary fibrous tumor]] of the meninges, [[epidermoid]] tumors and [[intracranial metastases]] are the most frequent. Although rare, marginal zone B-cell lymphoma must be considered in the differential diagnosis of an extra-axial enhancing mass ((Douleh DG, Morone PJ, Forbes JA, Thompson RC. Intracranial Marginal Zone B-Cell Lymphoma Mimicking Meningioma. World Neurosurg. 2016 May 4. pii: S1878-8750(16)30235-2. doi: 10.1016/j.wneu.2016.04.106. [Epub ahead of print] PubMed PMID: 27155383. )). ---- A 43-year-old man arrived at the emergency department following a syncopal episode. Computed tomography and magnetic resonance images demonstrated a small interhemispheric, anterior parafalcine mass that mimicked a meningioma. Surgical excision and subsequent pathologic evaluation revealed an [[angioleiomyoma]] and the patient recovered without incident ((Calle S, Louis D, Westmark R, Westmark K. Angioleiomyoma of the falx. J Radiol Case Rep. 2016 Apr 30;10(4):8-15. doi: 10.3941/jrcr.v10i4.2713. eCollection 2016 Apr. PubMed PMID: 27200167; PubMed Central PMCID: PMC4861627. )). ---- see [[Granulocytic sarcoma]]. ---- Lee et al. presented a case of PIFs mimicking a [[falx meningioma]] in a 17-year-old man ((Lee JG, Song SW, Koh YC, Cho J, Choi JW, Roh HG, Lim SD. Primary intracranial fibrosarcoma presenting with hemorrhage. Brain Tumor Res Treat. 2013 Oct;1(2):91-4. doi: 10.14791/btrt.2013.1.2.91. Epub 2013 Oct 31. PubMed PMID: 24904898; PubMed Central PMCID: PMC4027100. )). ===== References =====