Metastatic craniocervical hemangiopericytoma presenting with hydrocephalus and papilledema - Case review.

Abstract

Hemangiopericytomas are rare mesenchymal tumors with propensity to recur locally and metastasize. We report the unique case of a fifty-five-year-old male with recurrence of a previously resected craniocervical hemangiopericytoma presenting with obstructive hydrocephalus secondary to new metastatic cerebellar deposits. Emergent surgical resection of the cerebellar hemangiopericytomas was performed prior to adjuvant radiotherapy. Hemangiopericytomas are rare but important differentials for craniocervical junction lesions. Gross total resection remains the cornerstone of management with post-operative radiotherapy and chemotherapy as potential adjuncts. Tumors located in deep regions pose complex management challenges as safe maximal excision may be limited by proximal eloquent structures.

• Authors: Barry Ting Sheen Kweh, Chengde Pham, Catriona McLean, Jin Wee Tee
• Journal: Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia (J Clin Neurosci) Vol. 56 Pg. 186-187 (Oct 2018) ISSN: 1532-2653 [Electronic] Scotland
• PMID: 30318074 (Publication Type: Case Reports, Journal Article)
• Copyright: Crown Copyright © 2018. Published by Elsevier Ltd. All rights reserved.

Topics

• Cervical Vertebrae (diagnostic imaging)
• Diagnosis, Differential
• Hemangiopericytoma (complications, diagnostic imaging, radiotherapy)
• Humans
• Hydrocephalus (complications, diagnostic imaging, radiotherapy)
• Male
• Middle Aged
• Neoplasm Recurrence, Local (complications, diagnostic imaging, radiotherapy)
• Papilledema (complications, diagnostic imaging, radiotherapy)
• Radiosurgery (methods)
• Skull Neoplasms (complications, diagnostic imaging, radiotherapy)
• Spinal Neoplasms (complications, diagnostic imaging, radiotherapy)