Intradural Extramedullary Hemangiopericytoma of the Thoracic Spine Infiltrating a Nerve Root

Moscovici, Samuel; Ramirez-de-Noriega, Fernando; Fellig, Yakov; Rosenthal, Guy; Cohen, José E.; Itshayek, Eyal

doi:10.1097/brs.0b013e31822dddf4

Cited by 14 publications

(4 citation statements)

References 39 publications

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“…Hemangiopericytomas of the central nervous system are rare, comprising 2% to 4% of all meningeal tumors 7 , 8) . Hemangiopericytoma rarely occurs in the spine, with only approximately 60 previously reported cases of which 10 were located in the intradural extramedullary (IDEM) region 1 - 3 , 5 , 9 , 10 , 12 , 14) .…”

Section: Introductionmentioning

confidence: 99%

Spinal Hemangiopericytoma Which Needed Intraoperative Embolization due to Unexpected Bleeding

Lee

Kim

Jahng

et al. 2013

J Korean Neurosurg Soc

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Spinal intradural hemangiopericytoma is a very rare tumor and can be characterized by massive bleeding during surgeries, frequent recurrence, and metastasis. However, definite radiologic differential points of hemangiopericytoma are not known. We describe an unexpected hemangiopericytoma case with large bleeding and management of the tumor. A 21-year-old man visited complaining of progressive neck pain and tingling sensation in both hands. Magnetic resonance imaging of his spine revealed C1-2 ventral intradural mass. When the dura was opened, the intradural tumor was placed behind spinal accessary nerves. The tumor was partially exposed only after some accessary nerves had been cut. When internal debulking was performing, unexpected bleeding was noted and it was difficult to control because of narrow surgical field and hypervascularity. Intraoperative spinal angiography and embolization were performed. The tumor was completely removed after embolization. Pathological diagnosis was consistent with hemangiopericytoma. When surgeons meet a flesh-red tumor that bleeds unexpectedly during surgery, hemangiopericytoma may be considered. When feeder control is hard due to reciprocal location of spinal cord, the tumor, and feeders, intraoperative angiography and embolization may be a possible option.

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Section: Introductionmentioning

confidence: 99%

Spinal Hemangiopericytoma Which Needed Intraoperative Embolization due to Unexpected Bleeding

Lee

Kim

Jahng

et al. 2013

J Korean Neurosurg Soc

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“…Additionally, extradural lesions appeared to relapse earlier than intradural tumours at 2.6 vs. 6 years, respectively [28]. On the whole, recent series reported 5-year survival rates of CNS HPCs ranging from 76% to 93%, and recurrence could occur many years after initial treatment with a rate of 48% to 92% [15,18,26]. CNS and/or distant metastasis can occur in 4% to 50% of patients in a long time [18,26].…”

Section: Discussionmentioning

confidence: 99%

Remarkable recovery in a patient with intradural extramedullary haemangiopericytoma: a case report and literature review

Wang¹,

Wang²,

Lu³

et al. 2018

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Haemangiopericytomas (HPCs) in the spinal canal are extremely rare and have only been infrequently reported. Severe and sustained spinal cord compression resulting from these intraspinal tumours may cause potentially irreversible neurological impairment. We described a rare case of primary intradural extramedullary HPC recovered from serious compression of thoracic spinal cord in a 65-year-old man suffered from a rapidly progressive disease with complete paralysis of the lower limbs. Magnetic resonance imaging (MRI) and spinal angiography exhibited an unusual hypervascular mass, which was confirmed as HPC by pathological examination, in the dorsal aspects of T7 to T8 spine. Total surgical resection was performed followed by adjuvant radiation. Moreover, this patient had been undergoing specific training of lower limbs from the onset of paralysis and continuous rehabilitation was conducted after discharge. Increased strength of his lower limb muscles was shown in the period of follow-up. Remarkably, four years after surgery, this patient was able to walk with sticks. No signs of local recurrence or metastasis occurred. Conclusively, surgical removal is still the preferred treatment for HPC, and adjuvant radiotherapy and/or chemotherapy may help control tumour recurrence or metastasis. Additionally, it is possible that rehabilitation training potentially promotes neurological function recovery to some extent.

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“…The reported recurrence rate has ranged from 48% to 88%, with metastasis rates from 14% to 64% (14,19,22,31,33,52). The rates of local recurrence and distant metastases are associated with the pathological grade of HPCs (19,31,33). Therefore, close long-term followup of HPC patients is necessary.…”

Section: A B Cmentioning

confidence: 99%

“…HPCs may occur anywhere in the human body but the most common locations are the extremities, pelvis, the retroperitoneum, and the head and neck areas (11). They are rarely found in the central nervous system and account for approximately 2% to 4% of all primary meningeal tumors (19,33). HPCs in the spine may involve the structures of the vertebra and the spinal canal, including the extradural and intradural space.…”

Section: Introductionmentioning

confidence: 99%

Hemangiopericytoma of cervicothoracic spine: a case report and literature review.

Zhang¹,

Jie²,

Zhou³

2013

Turkish Neurosurgery

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A case of hemangiopericytoma in the cervicothoracic spine is reported. A 43-year-old man was admitted to our hospital with pain in the scapular region radiating to the left upper extremity, numbness, and weakness of the legs. Magnetic resonance image revealed an intraspinal, extradural mass at the level of the C6-T2 vertebral bodies. The lesion also involved the dorsal paraspinal area with a giant mass. A total resection of the tumor was performed and histopathological findings revealed a malignant hemangiopericytoma. The patient showed rapid neurological function improvement after surgery. It is well-recognized that hemangiopericytoma is an aggressive tumor with a high risk of recurrence and propensity to metastasize. The tumor is rarely found in the central nervous system, and only a few reports could be found in the literature. We present a case of cericothoracic spinal hemangiopericytoma with an intensive review of the literature. KEywoRds: Hemangiopericytoma, Cervicothoracic spine, Extradural tumor, Total resection ÖZServikotorasik omurgada bir hemanjiyoperisitom olgusu sunulmaktadır. 43 yaşında bir erkek hastanemize skapüler bölgede oluşan ve sol üst ekstremiteye yayılan ağrı, uyuşukluk ve bacaklarda kuvvetsizlik ile geldi. Manyetik rezonans görüntüleme C6-T2 vertebral cisimler seviyesinde bir intraspinal, ekstradural kitle ortaya çıkardı. Lezyon ayrıca dev bir kitleyle dorsal paraspinal bölgeyi tutuyordu. Tümörün total rezeksiyonu yapıldı ve histopatolojik bulgular bir malign hemanjiyoperisitom gösterdi. Hasta cerrahiden sonra nörolojik olarak hızla iyileşti. Hemanjiyoperisitomun yüksek nüks riski ve metastaz eğilimi olan agresif bir tümör olduğu bilinmektedir. Tümör, merkez sinir sisteminde nadiren bulunur ve literatürde sadece birkaç olgu saptanmıştır. Literatürün kapsamlı bir gözden geçirilmesiyle bir servikotorasik spinal hemanjiyoperisitom olgusu sunuyoruz.

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Intradural Extramedullary Hemangiopericytoma of the Thoracic Spine Infiltrating a Nerve Root

Abstract: This is the ninth report of spinal intradural hemangiopericytoma. The location of the neoplasm supports the hypothesis that hemangiopericytoma may arise from the spinal pial capillaries.

Cited by 14 publications

References 39 publications

Spinal Hemangiopericytoma Which Needed Intraoperative Embolization due to Unexpected Bleeding

Spinal Hemangiopericytoma Which Needed Intraoperative Embolization due to Unexpected Bleeding

Remarkable recovery in a patient with intradural extramedullary haemangiopericytoma: a case report and literature review

Hemangiopericytoma of cervicothoracic spine: a case report and literature review.

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