Angiographic Evidence of a Purely Pial Bihemispheric Intracranial Hemangiopericytoma

Background. Classification of hemangiopericytoma (HPC) has evolved to a mesenchymal, nonmeningothelial grade two or three neoplasm according to the World Health Organization; however its blood supply has always been defined by dual origin, pial and dural contribution. Case Description. We present th...

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Main Authors: Nathaniel Stetson, Sudhakar Vadivelu, Jiang Y. Li, Avi Setton, David J. Chalif
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2016/5245078
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author Nathaniel Stetson
Sudhakar Vadivelu
Jiang Y. Li
Avi Setton
David J. Chalif
author_facet Nathaniel Stetson
Sudhakar Vadivelu
Jiang Y. Li
Avi Setton
David J. Chalif
author_sort Nathaniel Stetson
collection DOAJ
description Background. Classification of hemangiopericytoma (HPC) has evolved to a mesenchymal, nonmeningothelial grade two or three neoplasm according to the World Health Organization; however its blood supply has always been defined by dual origin, pial and dural contribution. Case Description. We present the case of a patient with an intracranial HPC with only pial vascular supply. Angiography confirmed the lack of dural supply to this bihemispheric intracranial mass. Subsequent histologic examination confirmed the diagnosis of hemangiopericytoma. Angiographic evidence here is atypical of the natural history of hemangiopericytomas with dual vascular supply and was critical in the decision-making towards surgical resection without tumor embolization. Conclusion. Data presented suggests the lack of dural vascular supply alone does not rule out the diagnosis of hemangiopericytoma.
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series Case Reports in Neurological Medicine
spelling doaj-art-eda258a07ba34fa8ad58a5dba8f3db952025-02-03T01:02:17ZengWileyCase Reports in Neurological Medicine2090-66682090-66762016-01-01201610.1155/2016/52450785245078Angiographic Evidence of a Purely Pial Bihemispheric Intracranial HemangiopericytomaNathaniel Stetson0Sudhakar Vadivelu1Jiang Y. Li2Avi Setton3David J. Chalif4Cushing Neuroscience Institute and Department of Neurosurgery, Hofstra North Shore-LIJ School of Medicine, Manhasset, NY 11030, USACushing Neuroscience Institute and Department of Neurosurgery, Hofstra North Shore-LIJ School of Medicine, Manhasset, NY 11030, USACushing Neuroscience Institute and Department of Neurosurgery, Hofstra North Shore-LIJ School of Medicine, Manhasset, NY 11030, USACushing Neuroscience Institute and Department of Neurosurgery, Hofstra North Shore-LIJ School of Medicine, Manhasset, NY 11030, USACushing Neuroscience Institute and Department of Neurosurgery, Hofstra North Shore-LIJ School of Medicine, Manhasset, NY 11030, USABackground. Classification of hemangiopericytoma (HPC) has evolved to a mesenchymal, nonmeningothelial grade two or three neoplasm according to the World Health Organization; however its blood supply has always been defined by dual origin, pial and dural contribution. Case Description. We present the case of a patient with an intracranial HPC with only pial vascular supply. Angiography confirmed the lack of dural supply to this bihemispheric intracranial mass. Subsequent histologic examination confirmed the diagnosis of hemangiopericytoma. Angiographic evidence here is atypical of the natural history of hemangiopericytomas with dual vascular supply and was critical in the decision-making towards surgical resection without tumor embolization. Conclusion. Data presented suggests the lack of dural vascular supply alone does not rule out the diagnosis of hemangiopericytoma.http://dx.doi.org/10.1155/2016/5245078
spellingShingle Nathaniel Stetson
Sudhakar Vadivelu
Jiang Y. Li
Avi Setton
David J. Chalif
Angiographic Evidence of a Purely Pial Bihemispheric Intracranial Hemangiopericytoma
Case Reports in Neurological Medicine
title Angiographic Evidence of a Purely Pial Bihemispheric Intracranial Hemangiopericytoma
title_full Angiographic Evidence of a Purely Pial Bihemispheric Intracranial Hemangiopericytoma
title_fullStr Angiographic Evidence of a Purely Pial Bihemispheric Intracranial Hemangiopericytoma
title_full_unstemmed Angiographic Evidence of a Purely Pial Bihemispheric Intracranial Hemangiopericytoma
title_short Angiographic Evidence of a Purely Pial Bihemispheric Intracranial Hemangiopericytoma
title_sort angiographic evidence of a purely pial bihemispheric intracranial hemangiopericytoma
url http://dx.doi.org/10.1155/2016/5245078
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AT jiangyli angiographicevidenceofapurelypialbihemisphericintracranialhemangiopericytoma
AT avisetton angiographicevidenceofapurelypialbihemisphericintracranialhemangiopericytoma
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