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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Wiley
2016-01-01
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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. |
format | Article |
id | doaj-art-eda258a07ba34fa8ad58a5dba8f3db95 |
institution | Kabale University |
issn | 2090-6668 2090-6676 |
language | English |
publishDate | 2016-01-01 |
publisher | Wiley |
record_format | Article |
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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