Intracranial Hemangiopericytoma in a 15 Year-old Child: Neuroimaging Features and Management Therapy
Journal Title: Journal of Cancer and Tumor International - Year 2015, Vol 2, Issue 1
Abstract
Introduction: Intracranial hemangiopericytoma (HPR) is a highly vascular tumors which is exceptional in children. They may present management difficulties in some cases. Clinical Presentation: The authors report the case of a 15 year-old female presented with symptoms of increased intracranial pressure. Physical examination featured a frontal syndrome, a Broca’s aphasia, a grade 3 papilledema and a decreased visual acuity in her left eye. Radiological investigation including cranial CT scan and MRI displayed a large dural-based heterogeneous hemorrhagic tumor of the left frontal convexity. The patient underwent a total-gross resection of an extra-parenchymal hemorrhagic tumor through a large frontal craniotomy with no postoperative complications. Pathologic examination of the specimen and immuno-histochemistry concluded to an anaplastic HPR. Postoperative radiotherapy was performed without incidents. A local recurrence was diagnosed four months postoperatively and remained stable after additional radiotherapy. Conclusion: Intracranial anaplastic HPR in children are rare. Imaging features are not specific and may mimics meningioma. Microneurosurgery with adjuvant radiotherapy is required in the management of these aggressive tumors.
Authors and Affiliations
Mohamed Badri, Cyrine Drissi, Sofiene Bouali, Asma Bouhoula, Hafedh Jemel, Zammel Ihsen
Keywords
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- EP ID EP242917
- DOI 10.9734/JCTI/2015/15723
- Views 121
- Downloads 0
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