Primary intracranial angioleiomyoma: A Case Report and Literature Review.

Angioleiomyoma is a kind of benign soft tissue tumor that manifests as pain and is more common in the extremities. However, primary intracranial angioleiomyoma is an extremely rare entity with poor clinical, radiological, and histopathological characterization. We will compile and examine reported cases of intracranial angioleiomyoma in an attempt to provide an up-to-date summary of the condition. A literature search was performed using PubMed with specific key terms. Selected case studies and case series were then compared, and statistical analyses were performed where appropriate. We report a 59-year-old woman presenting with epileptic seizures and a 2-month history of progressive headache. Magnetic resonance imaging(MRI) of the brain revealed a right temporal pole tumor, near the right cavernous sinus. Gross total resection was performed. Histopathological and immunohistochemical examination revealed an angioleiomyoma. No adjuvant radiation or chemotherapy was administered. MRI of the brain performed at a 6-month follow-up showed no signs of recurrence. Primary intracranial angioleiomyoma is an exceedingly rare central nervous system tumor. The clinical and radiological manifestations are nonspecific. The diagnosis depends on the histopathological and immunohistochemical examination. For patients with clinical symptoms，surgical resection should be the first-choice treatment.