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Abdellah A, Lhamlili M, Khay H, Rghioui M, Khoulali M, Moufid F. Rare Cerebral Location of a Left Lateral Ventricle Solitary Fibrous Tumor (SFT): A Case Report With Literature Review. Cureus 2024; 16:e65215. [PMID: 39176306 PMCID: PMC11341117 DOI: 10.7759/cureus.65215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/23/2024] [Indexed: 08/24/2024] Open
Abstract
Solitary fibrous tumors (SFTs) are rare mesenchymal neoplasms that can occur intraventricularly, presenting diagnostic and management challenges. We describe a case of a 21-year-old male with no significant medical history who presented with intermittent headaches and vomiting, progressing to continuous symptoms. Neurological examination was unremarkable. Brain MRI revealed an isointense lesion in the occipital horn of the left lateral ventricle, diagnosed as an SFT. Surgical excision via a transcortical approach was successful, followed by postoperative radiotherapy. This case highlights the complexities in diagnosing and treating intraventricular SFTs, emphasizing the need for comprehensive evaluation and multimodal management strategies.
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Affiliation(s)
- Ayoub Abdellah
- Department of Neurosurgery, University Hospital Mohammed Vl, Faculty of Medicine and Pharmacy of Oujda, University Mohammed First, Oujda, MAR
- Department of Neurosurgery, Mohammed Vl International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, MAR
| | - Mohammed Lhamlili
- Department of Neurosurgery, University Hospital Mohammed Vl, Faculty of Medicine and Pharmacy of Oujda, University Mohammed First, Oujda, MAR
| | - Hamid Khay
- Department of Neurosurgery, University Hospital Mohammed Vl, Faculty of Medicine and Pharmacy of Oujda, University Mohammed First, Oujda, MAR
| | - Mounir Rghioui
- Department of Neurosurgery, Mohammed Vl International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, MAR
| | - Mohamed Khoulali
- Department of Neurosurgery, University Hospital Mohammed Vl, Faculty of Medicine and Pharmacy of Oujda, University Mohammed First, Oujda, MAR
| | - Faycal Moufid
- Department of Neurosurgery, Mohammed Vl International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, MAR
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Towner JE, Johnson MD, Li YM. Intraventricular Hemangiopericytoma: A Case Report and Literature Review. World Neurosurg 2016; 89:728.e5-728.e10. [PMID: 26836698 DOI: 10.1016/j.wneu.2016.01.056] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2015] [Revised: 01/11/2016] [Accepted: 01/11/2016] [Indexed: 11/18/2022]
Abstract
BACKGROUND Hemangiopericytomas are rare intracranial neoplasms that generally occur in the fifth decade of life and are commonly dural-based, supratentorial tumors. They are classified as World Health Organization grade II or III because of their aggressive nature with high rates of local recurrence and distant metastasis. This case is of an intraventricular hemangiopericytoma in a 23-year-old man. Intraventricular locations are rare, with only 10 cases reported in the literature. Our patient is the youngest to be diagnosed with an intraventricular hemangiopericytoma outside a pediatric case discovered at autopsy. CLINICAL PRESENTATION A 23-year-old man with a left intraventricular hemangiopericytoma presenting with headache, word-finding difficulties, blurred vision, nausea, vomiting, photophobia, and right-sided weakness and numbness. Using a left superior parietal lobule approach, a piecemeal resection was completed, achieving radiographic gross total resection. Pathology was consistent with a hemangiopericytoma. He was treated adjunctively with 60 Gy of local radiation. At 6-month follow-up, the patient had resolution of his aphasia and improvement in his headaches, with no signs of recurrence or metastasis on imaging. CONCLUSIONS Standard treatment for central nervous system hemangiopericytoma includes aggressive surgical resection. The role of adjuvant radiation is less well defined but is commonly pursued postoperatively. Regardless of extent of resection or adjuvant treatment, close follow-up to evaluate for evidence of local recurrence and distant metastasis is essential.
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Affiliation(s)
- James E Towner
- Department of Neurosurgery, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA
| | - Mahlon D Johnson
- Department of Pathology and Laboratory Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA
| | - Yan Michael Li
- Department of Neurosurgery, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA.
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3
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Avinash KS, Thakar S, Ghosal N, Hegde AS. Anaplastic hemangiopericytoma in the frontal horn of the lateral ventricle. J Clin Neurosci 2016; 26:147-9. [PMID: 26732285 DOI: 10.1016/j.jocn.2015.08.031] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2015] [Revised: 08/19/2015] [Accepted: 08/21/2015] [Indexed: 11/25/2022]
Abstract
Intracranial hemangiopericytomas are uncommon tumors, and their intraventricular occurrence is even rarer. We report a 40-year-old man who presented with raised intracranial pressure. His MRI showed a 3.3 × 3.2 × 3.2 cm heterogeneously enhancing lesion in the left frontal horn obstructing the foramen of Monro and causing hydrocephalus. The tumor was excised through an anterior interhemispheric, transcallosal approach, and histopathology revealed an anaplastic hemangiopericytoma (World Health Organization grade III). To our knowledge this is the first report of this rare pathology being located within the frontal horn of the lateral ventricle.
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Affiliation(s)
- K S Avinash
- Department of Neurosurgery, Sri Sathya Sai Institute of Higher Medical Sciences, Whitefield, Bangalore 560066, India
| | - Sumit Thakar
- Department of Neurosurgery, Sri Sathya Sai Institute of Higher Medical Sciences, Whitefield, Bangalore 560066, India.
| | - Nandita Ghosal
- Department of Pathology, Sri Sathya Sai Institute of Higher Medical Sciences, Whitefield, Bangalore, India
| | - A S Hegde
- Department of Neurosurgery, Sri Sathya Sai Institute of Higher Medical Sciences, Whitefield, Bangalore 560066, India
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Trabelsi S, Mama N, Chourabi M, Mastouri MH, Ladib M, Popov S, Burford A, Mokni M, Tlili K, Krifa H, Jones C, Yacoubi MT, Saad A, Brahim DHB. Meningeal Hemangiopericytomas and Meningomas: a Comparative Immunohistochemical and Genetic Study. Asian Pac J Cancer Prev 2015; 16:6871-6. [DOI: 10.7314/apjcp.2015.16.16.6871] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Tanaka T, Kato N, Arai T, Hasegawa Y, Abe T. Hemangiopericytoma in the trigone of the lateral ventricle. Neurol Med Chir (Tokyo) 2011; 51:378-82. [PMID: 21613766 DOI: 10.2176/nmc.51.378] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
A 67-year-old right-handed woman presented with a case of hemangiopericytoma in the lateral ventricle manifesting as digit number memory disturbance, sensory aphasia, and right quadrantanopsia. Magnetic resonance imaging demonstrated a 6-cm homogeneously enhanced mass in the trigone of the left lateral ventricle. The tumor was totally removed via the left inferior temporal gyrus. The histological findings were consistent with hemangiopericytoma. Differential diagnosis of hemangiopericytoma from meningioma and solitary fibrous tumors is very important because the clinical behavior of hemangiopericytoma is very aggressive, including local recurrence or distant metastases in the central nervous system and periphery. Histological confirmation is required to make a definitive diagnosis. The present patient did not receive radiation therapy, but developed no local recurrence or metastases. Complete surgical resection and awareness of hemangiopericytoma in the lateral ventricle are very important for good clinical outcome.
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Affiliation(s)
- Toshihide Tanaka
- Department of Neurosurgery, Jikei University School of Medicine Kashiwa Hospital, Chiba, Japan.
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Suzuki S, Wanifuchi H, Shimizu T, Kubo O. Hemangiopericytoma in the lateral ventricle. Neurol Med Chir (Tokyo) 2010; 49:520-3. [PMID: 19940401 DOI: 10.2176/nmc.49.520] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
A 31-year-old female presented with a particularly rare hemangiopericytoma (HPC) in the right lateral ventricle manifesting as a 6-month history of visual disturbance and headache. Left hemianopsia and choked disc were identified by an ophthalmologist who referred her to us. Magnetic resonance imaging demonstrated a 5-cm homogeneously enhanced mass in the trigone of the right lateral ventricle. The tumor was totally removed by two stage surgery. The histological findings were consistent with HPC. HPC is very important to differentiate from meningioma and solitary fibrous tumors because HPC is more aggressive. The histological and immunochemical findings are important for the differential diagnosis. The present case showed no local recurrence or metastasis without radiation therapy for 4 years, indicating that radiation therapy is not absolutely imperative for patients with intraventricular HPC showing low MIB-1 staining index after total removal.
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Affiliation(s)
- Sakiko Suzuki
- Department of Neurosurgery, Saiseikai Kurihashi Hospital.
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Hemangiopericytoma arising in the body of the lateral ventricle. Acta Neurochir (Wien) 2010; 152:145-9; discussion 150. [PMID: 19730782 DOI: 10.1007/s00701-009-0348-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2008] [Accepted: 01/19/2009] [Indexed: 10/20/2022]
Abstract
A 65-year-old woman presented with a very rare hemangiopericytoma in the body of the lateral ventricle.Magnetic resonance imaging demonstrated a homogeneously enhancing mass lesion occupying the bilateral medial portions of the body of the lateral ventricle. Cerebral angiography disclosed a vascular-rich tumor, fed mainly by the left lateral posterior choroidal artery. After devascularization of the feeding vessel by endovascular coiling, the patient underwent complete surgical excision of the tumor via an anterior transcallosal approach, followed by radiation therapy, and has thus far been disease-free for 5 years. The present patient represents the first reported case of hemangiopericytoma arising in the body of the lateral ventricle. In this location of hemangiopericytoma, preoperative embolization could provide a promising option in terms of reducing the intraoperative blood loss and achieving total tumor extirpation with minimum damage to the surrounding structures. Since preoperative identification of hemangiopericytomas confers therapeutic advantages,it is important to be aware that they can occur at unusual ventricular sites.
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Wu W, Shi JX, Cheng HL, Wang HD, Hang CH, Shi QL, Yin HX. Hemangiopericytomas in the central nervous system. J Clin Neurosci 2009; 16:519-23. [DOI: 10.1016/j.jocn.2008.06.011] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2008] [Revised: 06/24/2008] [Accepted: 06/24/2008] [Indexed: 10/21/2022]
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Fountas KN, Kapsalaki E, Kassam M, Feltes CH, Dimopoulos VG, Robinson JS, Smith JR. Management of intracranial meningeal hemangiopericytomas: outcome and experience. Neurosurg Rev 2006; 29:145-53. [PMID: 16391940 DOI: 10.1007/s10143-005-0001-9] [Citation(s) in RCA: 92] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2005] [Revised: 03/29/2005] [Accepted: 08/28/2005] [Indexed: 10/25/2022]
Abstract
Hemangiopericytomas represent rare intracranial tumors that have a tendency to recur locally and have the unique characteristic of giving extracranial metastases. Our current communication reviews a series of patients diagnosed with hemangiopericytoma who were treated in our facility. Eleven patients with a mean age of 51.2 years underwent follow-up for a mean time of 7.1 years. Their neuroimaging preoperative evaluation included plain skull X-rays, head CT scans, brain MRI, angiograms, and (1)HMRS. Preoperative embolization of the tumor was employed in 6/11 patients. All patients underwent craniotomy for tumor resection and postoperative radiation treatment was employed on all but one. Grade I resection was accomplished in 6/11 (54.5%), grade III in 4/11 (36.4%), and grade IV in 1/11 (9.1%). Local recurrence was detected in 3/11 (27.3%) at a mean period of 5 (range 2-7.5) years. Extracranial metastatic disease was documented in 4/11 (36.4%) patients at a mean of 4.9 (range 2.5-7) years after the initial diagnosis. The GOS score was: 7/11 (63.6%) scored 5, while 4/11 (36.4%) died at a mean time of 5.5 (range 3-8) years after the initial diagnosis. Intracranial hemangiopericytomas management requires aggressive surgical resection, postoperative radiation treatment, and extensive follow-up to rule out local recurrences and delayed extracranial metastases.
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Affiliation(s)
- K N Fountas
- Department of Neurosurgery, Medical Center of Central Georgia, Mercer University, School of Medicine, Macon, 31201-2155, USA.
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Abstract
Hemangiopericytoma is a rare tumor of the central nervous system and has seldom been reported intraventricularly. A 55-year-old woman presented with gradual onset of left side weakness, gait ataxia, and tendency to miss objects in the left visual field of uncertain duration. Magnetic resonance imaging with contrast showed a tumor with homogenous enhancement in the right lateral ventricle. The patient underwent right temporoparietal stealth-assisted craniotomy and surgical removal of the tumor. Histopathologic examination with ancillary tests confirmed hemangiopericytoma. Awareness that hemangiopericytoma can occur as an intraventricular tumor is important for clinicians and pathologists. Because of radiologic similarity, this tumor is not to be confused with intraventricular meningioma because the prognosis is different.
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Affiliation(s)
- Nabeel Al-Brahim
- Department of Pathology, McMaster University, Hamilton, Ontario, Canada
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Desai K, Nadkarni T, Fattepurkar S, Goel A, Shenoy A, Chitale A, Muzumdar G. Hemangiopericytoma in the Trigone of the Lateral Ventricle-Case Report-. Neurol Med Chir (Tokyo) 2004; 44:484-8. [PMID: 15600284 DOI: 10.2176/nmc.44.484] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
A 40-year-old male presented with hemangiopericytoma in the lateral ventricle manifesting as headaches persisting for 6 months associated with vomiting and visual obscurations for one month. Computed tomography and magnetic resonance imaging of the brain showed a large tumor in the trigone of the right lateral ventricle. The highly vascular tumor was completely excised. The histological diagnosis was hemangiopericytoma. Hemangiopericytoma is rarely located in the lateral ventricle and is difficult to differentiate from meningioma by neuroimaging methods.
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Affiliation(s)
- Ketan Desai
- Department of Neurosurgery, King Edward Memorial Hospital, Seth G. S. Medical College, Parel, Mumbai, India.
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Hattingen E, Pilatus U, Good C, Franz K, Lanfermann H, Zanella FE. An unusual intraventricular haemangiopericytoma: MRI and spectroscopy. Neuroradiology 2003; 45:386-9. [PMID: 12707742 DOI: 10.1007/s00234-003-0992-2] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2003] [Accepted: 03/03/2003] [Indexed: 11/26/2022]
Abstract
We present a 43-year-old woman with a tumour within the left lateral ventricle with the typical appearances of meningioma on MRI. (1)H MR spectroscopy demonstrated an increased choline peak, suggesting a malignant form of meningioma. Histologically a haemangiopericytoma was found, an exceptionally rare tumour at this site.
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Affiliation(s)
- E Hattingen
- Institute of Neuroradiology, University of Frankfurt, Schleusenweg 2-16, 60528 Frankfurt, Germany.
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Abrahams JM, Forman MS, Lavi E, Goldberg H, Flamm ES. Hemangiopericytoma of the third ventricle. Case report. J Neurosurg 1999; 90:359-62. [PMID: 9950509 DOI: 10.3171/jns.1999.90.2.0359] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
The authors present the first reported case of a hemangiopericytoma (HPC) occurring in the third ventricle. Most of these lesions are based in the meninges. There is only one other reported case of an intraventricular HPC; in that case the lesion was found in the lateral ventricle. A 40-year-old right-handed man presented with a 3-month history of headaches. Clinical evaluation, including computerized tomography and magnetic resonance imaging studies, revealed a 1-cm enhancing lesion in the third ventricle. Given the findings on the preoperative imaging studies, the lesion was not consistent with some of the more commonly occurring tumors of the third ventricle, namely colloid cysts. A transcortical approach and resection of the lesion was performed without complication. The final pathological findings were consistent with those of an HPC. Hemangiopericytomas rarely occur in the ventricles and may pose a difficult diagnostic dilemma based on their radiographic and gross appearances, as shown in this case. Because of this difficulty, histological confirmation is required to make a definitive diagnosis. These lesions have a propensity to recur and metastasize in the central nervous system and periphery, thus making the goal of treatment a complete surgical resection followed by postoperative radiation therapy in most cases.
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Affiliation(s)
- J M Abrahams
- Department of Neurosurgery, The Hospital of the University of Pennsylvania, Philadelphia 19104, USA.
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