Rationale: Solitary fibrous tumor (SFT) is a rare mesenchymal spindle cell tumor. SFT in the central nervous system (CNS) is rare. This case reports rare magnetic resonance imaging (MRI) findings of intracranial SFT (ISFT).
Patient concerns: We report a 47-year-old female patient who was found to have weakness in her right limb with walking instability 2 months before the visit.
Diagnoses: Based on imaging, the provisional diagnosis was meningioma. Postsurgical histopathological diagnosis confirmed World Health Organization (WHO) grade I SFT/hemangiopericytoma (HPC).
Interventions: The lesion was totally excised. The patient improved remarkably after the operation, without any signs of associated limb movement disorder.
Outcomes: No local recurrence or metastases were observed in the follow-up 3 months after the surgery.
Lessons: Intracranial SFT is a rare mesenchymal tumor. Due to different tumor components, imaging manifestations are diverse and lack of characteristics, so preoperative diagnosis is challenging. Our case provides a rare ISFT with significantly decreased signal intensity in T2 weighted images (T2WI), which is an important supplement to the rare imaging findings of intracranial SFT.
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