Plasma cell granuloma occurs most frequently in the lung and upper respiratory tract; fewer than ten cases have been reported to occur in the central nervous system. A case of intracranial plasma cell granuloma in a 69-year-old male was reported. He visited our clinic, complaining of progressive visual disturbance. The CT in this patient showed a suprasellar mass, diagnosed as a tuberculum sellae meningioma. Over a 10-year observation period the tumor grew remarkably and, when finally removed, it proved to be a plasma cell granuloma. This report presents CT scans and MR images and a review of the literature relevant to this rare intracranial lesion. The most common preoperative diagnosis in these cases, as reported here, was meningioma. Although plasma cell granuloma rarely occurs intracranially, the existence of this entity should be borne in mind in the differential diagnosis of meningioma.