Haemangiopericytoma presenting with intracerebral haemorrhage. Case report and review of literature

Abstract

A case of an intracerebral bleeding from haemangiopericytoma is reported. To our knowledge it is the first published case. The literature concerning apoplectic presentation of brain tumours is reviewed.

Endovascular Preoperative Embolization of Orbital Hemangiopericytoma With n-Butyl Cyanoacrylate Glue

“…2 Many cases of orbital hemangiopericytoma have been reported in the literature along with various surgical approaches, long-term outcomes, and techniques to manage recurrence; however, few have discussed preoperative embolization. 1,3-5 Intraoperative hemorrhage is a concern in both the congenital and the adult form of these cases 6,7 and may be an indication for preoperative embolization. A unique case of preoperative embolization was presented with n-butyl cyanoacrylate for surgical resection of a large orbital hemangiopericytoma in a 58-year-old woman.…”

Neuro-ophthalmic manifestations of hemangiopericytoma

“…Many cases of hemangiopericytoma (as opposed to meningioma) have more "aggressive" neuroradiologic features including irregular or lobulated margins, 18 parenchymal invasion, bone erosion, and heterogeneous enhancement. [7][8][9] Meningioma was the preoperative diagnosis in all but one (case 5) of our cases but all had atypical features that were suggestive of a more aggressive pathology like hemangiopericytoma.…”

Meningeal Hemangiopericytoma Manifesting as Massive Intracranial Hemorrhage-Two Case Reports-

“…Only seven cases of meningeal hemangiopericytoma associated with subarachnoid, 5) subdural, 1,16) intratumoral, 4) and intracerebral hemorrhage 9,21) have been reported (Table 1). However, some previous patients with angioblastic meningioma manifesting as intracranial hemorrhage actually might have had hemangiopericytoma.…”

“…1,4,5,9,21) These tumors bleed profusely, and the large amount of bleeding from these tumors has caused deaths on the operating table or in the early postoperative course. [10][11][12] Preoperative radiotherapy or intratumoral embolization might be useful to reduce this profuse bleeding, but cannot be used in the emergent situation.…”

“…1) Meningeal hemangiopericytoma manifesting as intracranial hemorrhage has been reported in only seven cases. 1,4,5,9,16,21) We treated two patients with meningeal hemangiopericytoma manifesting as life-threatening massive intracranial hemorrhage.…”