Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Cystic Hemangiopericytoma in the Third Ventricle

  • Sim, Jong-Eun (Departments of Neurosurgery, Brain Tumor Institute, College of Medicine, Dong-A University) ;
  • Jeong, Jin-Sook (Departments of Pathology, Brain Tumor Institute, College of Medicine, Dong-A University) ;
  • Choi, Sun-Seob (Departments of Diagnostic Radiology, Brain Tumor Institute, College of Medicine, Dong-A University) ;
  • Choi, Young-Min (Departments of Onco-radiology, Brain Tumor Institute, College of Medicine, Dong-A University) ;
  • Kim, Ki-Uk (Departments of Neurosurgery, Brain Tumor Institute, College of Medicine, Dong-A University)
  • Published : 2006.12.31
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Abstract

Primary intracranial hemangiopericytoma is rare and resemble meningioma on imaging study. It shows meningeal attachment, and is usually isointense with gray matter on T1-weighted MR image with heterogeneous enhancement and prominent vascular flow voids on T2-weighted image. Cystic type of hemangiopericytoma is very rare and only 3 cases have been reported in the literature which arised in the middle fossa, cerebellum, and occipital area. Ventricular hemangiopericytomas were reported in 9 cases, and all of them were solid type. Authors experienced a peculiar case of cystic hemangiopericytoma in the 3rd ventricle and report it with review of the literature.

Keywords

References

  1. Abrahams JM, Forman MS, Lavi E, Goldberg H, Flamm ES : Hemangiopericytoma of the third ventricle. Case report. J Neurosurg 90 : 359-362, 1999 https://doi.org/10.3171/jns.1999.90.2.0359
  2. Alen JF, Lobato RD, Gomez PA, Boto GR, Lagares A, Ramos A, et al : Intracranial hemangiopericytoma : study of 12 cases. Acta Neurochir (Wien) 143 : 575-586, 2001 https://doi.org/10.1007/s007010170062
  3. Barba I, Moreno A, Martinez-Perez I, Tate AR, Cabanas ME, Baquero M, et al : Magnetic resonance spectroscopy of brain hemangiopericytomas : high myoinositol concentrations and discrimination from meningiomas. J Neurosurg 94 : 55-60, 2001 https://doi.org/10.3171/jns.2001.94.1.0055
  4. Bhargava R, Shia J, Hummer AJ, Thaler HT, Tornos C, Soslow RA : Distinction of endometrial stromal sarcomas from 'hemangiopericytomatous' tumors using a panel of immunohistochemical stains. Mod Pathol 18 : 40-47, 2005 https://doi.org/10.1038/modpathol.3800248
  5. Blank W, Spring A, Giesen H, Artmann H : Intracranial hemangiopericytoma in a child. Klin Padiatr 200 : 422-425, 1988 https://doi.org/10.1055/s-2008-1033746
  6. Chiechi MV, Smirniotopoulos JG, Mena H : Intracranial hemangiopericytomas : MR and CT features. AJNR Am J Neuroradiol 7 : 1365-1371, 1996
  7. Coffey RJ, Cascino TL, Shaw EG : Radiosurgical treatment of recurrent hemangiopericytomas of the meninges : preliminary results. J Neurosurg 78 : 903-908, 1993 https://doi.org/10.3171/jns.1993.78.6.0903
  8. Fletcher CD : The evolving classification of soft tissue tumors : an update based on the new WHO classification. Histopathology 48 : 3-12, 2006 https://doi.org/10.1111/j.1365-2559.2005.02284.x
  9. Fountas FN, Kapsalaki E, Kassam M, Feltes CH, Dimopoulos VG, Robinson JS, et al : Management of intracranial meningeal hemangiopericytomas : outcome and experience. Neurosurg Rev 29 : 145-153, 2006 https://doi.org/10.1007/s10143-005-0001-9
  10. Galanis E, Buckner JC, Scheithauer BW, Kimmel DW, Schomberg PJ, Piepgras DG : Management of recurrent meningeal hemangiopericytoma. Cancer 82 : 1915-1920, 1998 https://doi.org/10.1002/(SICI)1097-0142(19980515)82:10<1915::AID-CNCR15>3.0.CO;2-W
  11. Guthrie BL, Ebersold MJ, Scheithauer BW, Shaw EG : Meningeal hemangiopericytoma : histopathological features, treatment, and long-term follow-up of 44 cases. Neurosurgery 25 : 514-522, 1989 https://doi.org/10.1227/00006123-198910000-00003
  12. Huisman TA, Brandner S, Niggli F, Kacl G, Willi UV, Martin E : Meningeal hemangiopericytoma in childhood. Eur Radiol 10 : 1073-1075, 2000 https://doi.org/10.1007/s003309900222
  13. Itoyama Y, Seto H, Nagahiro S, Kuratsu J, Uemura S, Ushio Y : Intracranial cystic hemangiopericytoma--case report. Neurol Med Chir(Tokyo) 31 : 210-213, 1991 https://doi.org/10.2176/nmc.31.210
  14. Jaaskelainen J, Servo A, Haltia M, Wahlstrom T, Valtonen S : Intracranial hemangiopericytoma : radiology, surgery, radiotherapy, and outcome in 21 patients. Surg Neurol 23 : 227-236, 1985 https://doi.org/10.1016/0090-3019(85)90087-4
  15. Kaye AYH, Laws ER : Brain Tumors. Tokyo : Livingstone, 1995, pp 705-711
  16. Kocak A, Cayli S, Sarac K, Aydin NE : Intraventricular solitary fibrous tumors : An unusual tumor with radiological, ultrastructural, and immunohistochemical evaluation : case report. Neurosurgery 54 : 213-217, 2004 https://doi.org/10.1227/01.NEU.0000097555.75899.C3
  17. Kroh H, Figols J, Sobieraj A : Intracranial hemangiopericytoma. Histological and immunohistochemical study. Folia Neuropathol 35 : 121-127, 1997
  18. Kuzeyli K, Cakir E, Karaarslan G, Usul H, Reis A, Baykal S, et al : Primary parencymal cerebral cystic haemangiopericytoma : a 5-year follow up of disease progression. Australas Radiol 47 : 88-91, 2003 https://doi.org/10.1046/j.1440-1673.2003.01114.x
  19. Masui T, Kurosawa Y, Iwase T, Sugimura H, Isoda H, Takahashi M, et al : Meningeal hemangiopericytoma metastatic to the heart. Radiat Med 14 : 91-94, 1996
  20. Prakasha B, Jacob R, Dawson A, Joannides T : Haemangiopericytoma diagnosed from a metastasis 11years after surgery for 'atypical meningioma'. Br J Radiol 74 : 856-858, 2001 https://doi.org/10.1259/bjr.74.885.740856
  21. Radley MG, McDonald JV : Meningeal hemangiopericytoma of the posterior fossa and thoracic spinal epidural space : case report. Neurosurgery 30 : 446-452, 1992 https://doi.org/10.1227/00006123-199203000-00027
  22. Sheehan J, Kondziolka D, Flickinger J, Lunsford LD : Radiosurgery for treatment of recurrent intracranial hemangiopericytomas. Neurosurgery 51 : 905-911, 2002 https://doi.org/10.1097/00006123-200210000-00008
  23. Stone JL, Cybulski GR, Rhee HL, Bailey OT : Excision of a large pineal region hemangiopericytoma (angioblastic meningioma, hemangiopericytoma type). Surg Neurol 19 : 181-189, 1983 https://doi.org/10.1016/0090-3019(83)90421-4
  24. Suzuki H, Haga Y, Oguro K, Shinoda S, Masuzawa T, Kanai N : Intracranial hemangiopericytoma with extracranial metastasis occurring after 22 years. Neurol Med Chir (Tokyo) 42 : 297-300, 2002 https://doi.org/10.2176/nmc.42.297
  25. Suzuki SO, Fukui M, Nishio S, Iwaki T : Clinicopathological features of solitary fibrous tumor of the meninges : An immunohistochemical reappraisal of cases previously diagnosed to be fibrous meningioma or hemangiopericytoma. Pathol Int 50 : 808-817, 2000 https://doi.org/10.1046/j.1440-1827.2000.01120.x