Intratumoral haemorrhage: a clinical study

Kuzeylı, Kayhan; Çakır, Ertuğrul; Usul, Haydar; Karaarslan, Gökalp; Yazar, Uğur; Baykal, Süleyman; Reis, Abdulkadir; Çobanoğlu, Ümi̇t

doi:10.1016/j.jocn.2003.10.012

Cited by 27 publications

(25 citation statements)

References 22 publications

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“…Purely suprasellar masses presenting with hemorrhage are rare. This clinicoradiologic picture may occur with a number of suprasellar tumors including meningioma [17][18][19], craniopharyngioma [5,6], germinoma [16], and glioma [7][8][9][10][11][12], or with various types of vascular malformations including cavernous angioma [13] and venous angioma [14,15]. Aneurysm should always be considered in the differential diagnosis, but tend to have a characteristic appearance on MRI and angiography.…”

Section: Discussionmentioning

confidence: 99%

“…The differential diagnosis of a hemorrhagic suprasellar mass includes Rathke cleft cyst [1][2][3][4], craniopharyngioma [5,6], optic or hypothalamic glioma [7][8][9][10][11][12], cavernous angioma [13], venous angioma [14,15], germinoma [16], meningioma [17][18][19], and aneurysm. We describe the first reported case of pituicytoma presenting with spontaneous hemorrhage.…”

Section: Introductionmentioning

confidence: 99%

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Pituicytoma presenting with spontaneous hemorrhage

2006

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Pituicytomas are rare tumors. Previously reported pituicytomas all presented with signs and symptoms relating to mass effect or endocrinological dysfunction. We report a 47 year old man who presented with sudden, severe headache and was found to have a hemorrhagic suprasellar mass with hemorrhage into the third ventricle. A mass arising from the pituitary stalk was found at surgery, and thorough pathological analysis revealed a pituicytoma. Pituicytoma should be considered in the differential diagnosis of a hemorrhagic suprasellar mass.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pituicytoma presenting with spontaneous hemorrhage

2006

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“…These risk factors include patient age (<30 or >70 years), tumor location (convexity and intraventricular), and histopathology (microcysts, necrosis, high proliferation rate). Other potential risk factors may also include hypertension, head injury, and the use of antiplatelet and/or anticoagulant therapy [9,11,12]. The use of antiplatelet medication is particularly relevant to our patient given that she was currently taking dual antiplatelet medication for multiple cardiac stents.…”

Section: Discussionmentioning

confidence: 99%

Acute Hemorrhage Following Gamma Knife Radiosurgery to a Clival Meningioma

et al. 2013

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Background Gamma Knife radiosurgery (GKS) is a primary treatment modality for small, surgically-challenging meningiomas of the skull base in carefully selected patients. Despite the overall low incidence of complications from this procedure, rare instances of hemorrhagic events following GKS have been reported. In fact, only a single, probable case of acute hemorrhage after GKS for a meningioma exists in the literature. Case description The authors present the case of a 59-year-old female treated with GKS to a clival meningioma who suffered an acute intra- and peritumoral hemorrhage within three hours after the procedure. The patient also had an ST-elevation myocardial infarction associated with the hemorrhage. At the time of her GKS she was taking aspirin and clopidogrel for treatment of coronary artery disease with multiple cardiac stents. Cerebral catheter angiography failed to reveal a source for the hemorrhage. Conclusion Acute hemorrhage following GKS to a meningioma is a rare, but potentially serious, complication and consideration should be given to counseling patients of this risk prior to treatment. We hypothesize that acute change to the structural integrity of the vascular endothelium after GKS may have precipitated cerebrovascular dysfunction resulting in hemorrhage. While the administration of anti-platelet therapy may have been a contributing factor to his event, it appears that the low incidence of acute tumoral bleeding after GKS does not justify routinely discontinuing anti-platelet and/or anti-coagulation in patients with severe associated medical co-morbidities.

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“…Because intracerebral hemorrhage in meningioma is also rare, with a frequency of 1.3%,[8] there have been 6 reported cases of primary intracranial chondrosarcoma presenting with cranial hemorrhage. [12341011] However, chondrosarcoma of the skull itself is rare.…”

Section: Introductionmentioning

confidence: 99%

A case of acute subdural hematoma due to bleeding from metastatic chondrosarcoma of the skull

Kosugi¹,

Takahashi²,

Sasaki³

et al. 2017

Surg Neurol Int

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Background:Intra or peritumoral hemorrhage of brain and skull tumors sometimes presents as stroke. Skull metastasis of chondrosarcoma is relatively rare, and furthermore, a case of intratumoural hemorrhage of skull metastasis of chondrosarcoma has not been reported.Case Description:A 73-year-old man underwent right lower leg amputation in the past because of chondrosarcoma and was operated for a skull metastasis. He presented with a sudden headache, and head computed tomography revealed a right acute subdural hematoma (SDH) adjacent to the recurrent skull metastatic tumor. The removal of the SDH and tumor resection were performed emergently. The intraoperative findings included metastatic invasion beyond the dura mater to as deep as the subdural space, and the histological diagnosis was metastatic chondrosarcoma. His postoperative course was uneventful.Conclusion:In the event of subdural invasion of a metastatic lesion, intratumoral hemorrhage may induce acute SDH, as in the present case. Similar to our case, most previous reports of intracranial chondrosarcoma hemorrhage have had an unclear etiology. Despite the rarity of this event, a patient with a history of malignancy presenting with nontraumatic acute SDH should be examined for the intratumoral hemorrhage of skull metastasis in the differential diagnosis.

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Intratumoral haemorrhage: a clinical study

Cited by 27 publications

References 22 publications

Pituicytoma presenting with spontaneous hemorrhage

Pituicytoma presenting with spontaneous hemorrhage

Acute Hemorrhage Following Gamma Knife Radiosurgery to a Clival Meningioma

A case of acute subdural hematoma due to bleeding from metastatic chondrosarcoma of the skull

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