Fibroma of the meninges in a child: immunohistological and ultrastructural study

1992 ◽  
Vol 76 (1) ◽  
pp. 143-147 ◽  
Author(s):  
Miguel Reyes-Mugica ◽  
Pauline Chou ◽  
Frank Gonzalez-Crussi ◽  
Tadanori Tomita
Keyword(s):  
Differential Diagnosis ◽  
Ultrastructural Study ◽  
Clinical Presentation ◽  
Intracranial Tumor ◽  
Frontal Bone ◽  
Content Type ◽  
Fine Print

✓ A case of meningeal fibroma in a 5-year-old girl is described. The lesion presented as a benign intracranial tumor, eroding the frontal bone and protruding under the skin. It was composed of fibroblasts and collagen, embedded in a loose background with focal myxoid changes. The authors describe the patient's clinical presentation and the tumor's histological, immunohistochemical, and ultrastructural features, and discuss its differential diagnosis. It is concluded that fibromas of the meninges should be distinguished from fibroblastic meningiomas.

Exclusively intracranial cranial fasciitis in a child

1995 ◽  
Vol 83 (4) ◽  
pp. 744-747 ◽  
Author(s):  
Axel Pagenstecher ◽  
Beate Emmerich ◽  
Vera van Velthoven ◽  
Rudolf Korinthenberg ◽  
Benedikt Volk
Keyword(s):  
Differential Diagnosis ◽  
Intracranial Tumor ◽  
Content Type ◽  
Cranial Fasciitis ◽  
Myxoid Matrix ◽  
Fine Print

✓ The authors present a case of an intracranial tumor in a 7-year-old girl leading to increasing hemiparesis. The lesion arose from the dura and consisted of fibroblasts in a myxoid matrix. The diagnosis of cranial fasciitis was made. The histological, immunohistological, and ultrastructural features of the tumor are described and the differential diagnosis is discussed.

Lipoma involving the skull

1992 ◽  
Vol 76 (2) ◽  
pp. 312-314 ◽  
Author(s):  
Masayuki Tomabechi ◽  
Kazuhiro Sako ◽  
Go Daita ◽  
Yukichi Yonemasu
Keyword(s):  
Differential Diagnosis ◽  
Fibrous Dysplasia ◽  
Frontal Bone ◽  
Content Type ◽  
Intraosseous Lipoma ◽  
Bone Infarction ◽  
Healing Bone ◽  
Fine Print

✓ The case of an intraosseous lipoma involving the left frontal bone is reported. Lipomas of the bone are rare; only three cases of lipomas involving the skull have previously been reported. The differential diagnosis includes a healing bone infarction or fracture, meningioma, hemangioma, and fibrous dysplasia. Diagnosis prior to surgery is difficult.

Primary intracranial esthesioneuroblastoma (olfactory neuroblastoma)

1973 ◽  
Vol 38 (5) ◽  
pp. 548-556 ◽  
Author(s):  
Ann E. Hamilton ◽  
Lucien J. Rubinstein ◽  
G. Joseph Poole
Keyword(s):  
Special Reference ◽  
Clinical Presentation ◽  
Olfactory Neuroblastoma ◽  
Intracranial Tumor ◽  
Biological Behavior ◽  
Content Type ◽  
Rare Neoplasm ◽  
Visceral Organs ◽  
Fine Print

✓ A case of esthesioneuroblastoma (olfactory neuroblastoma) is reported. Its onset was that of an intracranial tumor, and it subsequently recurred four times. At autopsy, 4 years and 8 months after the onset of symptoms, metastases were found in the cerebrospinal pathways and visceral organs. The literature on this relatively rare neoplasm is reviewed with special reference to the unusual clinical presentation and biological behavior of the tumor.

Hemangiopericytoma of the spinal canal

1978 ◽  
Vol 49 (6) ◽  
pp. 914-920 ◽  
Author(s):  
Darrell J. Harris ◽  
Victor L. Fornasier ◽  
Kenneth E. Livingston
Keyword(s):  
Endothelial Cells ◽  
Differential Diagnosis ◽  
High Risk ◽  
Spinal Canal ◽  
Vertebral Column ◽  
Soft Tissues ◽  
Surgical Removal ◽  
Vascular Neoplasm ◽  
Content Type ◽  
Fine Print

✓ Hemangiopericytoma is a vascular neoplasm consisting of capillaries outlined by an intact basement membrane that separates the endothelial cells of the capillaries from the spindle-shaped tumor cells in the extravascular area. These neoplasms are found in soft tissues but have rarely been shown to involve the spinal canal. This is a report of three such cases. Surgical removal of the tumor from the spinal canal was technically difficult. A high risk of recurrence has been reported but in these three cases adjunctive radiotherapy appeared to be of benefit in controlling the progression of the disease. These cases, added to the six cases in the literature, confirm the existence of hemangiopericytoma involving the vertebral column with extension into the spinal canal. This entity should be included in the differential diagnosis of lesions of the spinal canal. The risk of intraoperative hemorrhage should be anticipated.

Meningeal melanocytoma

1998 ◽  
Vol 88 (1) ◽  
pp. 116-121 ◽  
Author(s):  
David B. Clarke ◽  
Richard Leblanc ◽  
Gilles Bertrand ◽  
Gilbert R. C. Quartey ◽  
G. Jackson Snipes
Keyword(s):  
Histological Examination ◽  
Posterior Fossa ◽  
Clinical Presentation ◽  
Residual Tumor ◽  
Posterior Fossa Decompression ◽  
Content Type ◽  
Meningeal Melanocytoma ◽  
Radiological Appearance ◽  
Histological Features ◽  
Fine Print

✓ Meningeal melanocytomas are rare tumors of the central nervous system that are found almost exclusively in the posterior fossa and spinal cord and whose natural history is poorly defined. In this report, the authors review the clinical presentation, radiological appearance, operative findings, and histological features in two cases of meningeal melanocytoma: one cranial and one spinal. Two women, aged 21 and 30 years, were admitted to the hospital 60 years apart: the first because of progressive paraplegia and the second because of slowly progressive hearing loss. The first patient had an extradural tumor that was treated by laminectomy, subtotal resection, and postoperative radiotherapy in 1936. Her symptoms recurred 16 years later and she underwent reoperation of the residual tumor, which was found to have an intradural component. The authors' patient, who presented 60 years later, underwent plain and enhanced computerized tomography and magnetic resonance imaging that demonstrated a large posterior fossa lesion indicative of either an acoustic neuroma or a meningioma. She underwent posterior fossa decompression but only partial excision of the tumor could be accomplished because vigorous bleeding limited the extent of the resection. Surgery was followed by radiotherapy. The residual tumor enlarged despite these measures and required repeated resection 6 months later. At the second operation the tumor was much less vascular, perhaps reflecting the effects of radiotherapy, and was removed almost entirely. The patient died 6 months later from an anticoagulant-related cerebellar hemorrhage. In both cases the lesions were jet black, and histological examination revealed melanin-containing hypercellular tumors with rare mitotic figures. Meningeal melanocytomas are being diagnosed with increased frequency in parallel with improvements in neuroimaging and clarification of histological features. Clinical presentation of patients with these tumors typically occurs in their fifth decade and women are affected twice as often as men. The posterior fossa lesions can mimic acoustic neuromas and meningiomas in location and radiological appearance; however, the internal auditory canal is normal. In the spine, meningeal melanocytomas present with the clinical features of myeloradiculopathy. Diagnosis is made intraoperatively from the gross, jet-black appearance of the tumor and from histological examination. Vascularity, size, and location may render complete resection unfeasible. Because of the tumor's propensity to recur, radiotherapy has been recommended but its role remains to be elucidated.

Primary eosinophilic granuloma of the oculomotor nerve

1994 ◽  
Vol 81 (5) ◽  
pp. 784-787 ◽  
Author(s):  
Markus Hardenack ◽  
Anje Völker ◽  
J. Michael Schröder ◽  
Joachim M. Gilsbach ◽  
Albrecht G. Harders
Keyword(s):  
Differential Diagnosis ◽  
Eosinophilic Granuloma ◽  
Cranial Nerves ◽  
Oculomotor Nerve ◽  
Content Type ◽  
Osseous Involvement ◽  
Fine Print

The authors report the occurrence of primary eosinophilic granuloma of the oculomotor nerve without osseous involvement in a 68-year-old man. Histopathological and neuroradiological findings are discussed. This case demonstrates that eosinophilic granuloma should be included in the differential diagnosis of tumor in which cranial nerves are involved.

Galenic dural arteriovenous fistula: unusual clinical presentation and successful endovascular therapy

2002 ◽  
Vol 97 (2) ◽  
pp. 467-470 ◽  
Author(s):  
John B. Weigele ◽  
John C. Chaloupka ◽  
Walter S. Lesley
Keyword(s):  
Magnetic Resonance ◽  
Arteriovenous Fistula ◽  
Dural Arteriovenous Fistula ◽  
Clinical Presentation ◽  
Magnetic Resonance Images ◽  
Interstitial Edema ◽  
Content Type ◽  
Clinical Recovery ◽  
Structural Abnormalities ◽  
Fine Print

✓ The authors report a case in which the clinical and neuroimaging findings were initially considered diagnostic of a brainstem glioma. Angiography revealed a deep venous system (galenic) dural arteriovenous fistula causing brainstem interstitial edema. Successful endovascular surgery resulted in complete clinical recovery of the patient and resolution of the structural abnormalities that had been observed on magnetic resonance images. The neuroimaging and therapeutic significance of this case are discussed.

Angiofibroma of the middle cranial fossa

1971 ◽  
Vol 35 (1) ◽  
pp. 90-94 ◽  
Author(s):  
G. Vasudeva Iyer ◽  
N. D. Vaishya ◽  
A. Bhaktaviziam ◽  
G. M. Taori ◽  
Jacob Abraham
Keyword(s):  
Young Woman ◽  
Middle Cranial Fossa ◽  
Intracranial Tumor ◽  
Rare Occurrence ◽  
Content Type ◽  
Cranial Fossa ◽  
Primary Intracranial Tumor ◽  
Fine Print

✓ The rare occurrence of angiofibroma as a primary intracranial tumor in the middle cranial fossa is reported in a young woman, and related reports are reviewed.

Extradural spinal involvement by gout

1979 ◽  
Vol 50 (2) ◽  
pp. 236-239 ◽  
Author(s):  
Steven L. Wald ◽  
James E. McLennan ◽  
Richard M. Carroll ◽  
Harold Segal
Keyword(s):  
Differential Diagnosis ◽  
Spinal Canal ◽  
Lumbar Region ◽  
Content Type ◽  
Spinal Involvement ◽  
Gouty Tophus ◽  
Fine Print

✓ A case of extradural gouty tophus in the lumbar region in a teen-age girl is presented as an addition to the differential diagnosis of erosive lesions of the spinal canal.

Intracranial extension of an eccrine porocarcinoma

1999 ◽  
Vol 90 (1) ◽  
pp. 138-140 ◽  
Author(s):  
Ann M. Ritter ◽  
R. Scott Graham ◽  
Barbara Amaker ◽  
William C. Broaddus ◽  
Harold F. Young
Keyword(s):  
Soft Tissue ◽  
Malignant Tumor ◽  
Clinical Presentation ◽  
Intracranial Extension ◽  
Pathological Findings ◽  
Review Of The Literature ◽  
Radiographic Evidence ◽  
Content Type ◽  
Eccrine Porocarcinoma ◽  
Fine Print

✓ Eccrine porocarcinoma is a rare malignant tumor of the true sweat gland. It commonly presents in the lower extremities with lymphatic metastasis. The authors describe the clinical presentation, radiographic evidence, operative discoveries, and pathological findings in a patient with an eccrine porocarcinoma involving the soft tissue of the occiput, which had eroded through the cranium. A review of the literature failed to reveal any other such case. The discussion includes the epidemiology, pathogenesis, treatment, and outcome of eccrine porocarcinomas. The six reported cases of scalp eccrine tumors are reviewed.

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