Co-Existence of Intracranial Solitary Fibrous Tumor/Hemangiopericytoma and Right Middle Cerebral Artery Aneurysm: A Case Report

Chi-Man Yip, Huai-Pao Lee, Jui-Hsun Fu and Shuo-Hsiu Hsu

Department of Neurosurgery, Kaohsiung Veterans General Hospital, Republic of China
Department of Pathology and Laboratory Medicine, Kaohsiung Veterans General Hospital, Republic of China
Department of Nursing, Meiho University, Republic of China
Department of Radiology, Section of Neuroradiology Kaohsiung Veterans General Hospital, Republic of China

^*Correspondance to: Chi-Man Yip 

 PDF  Full Text DOI: 10.25107/2474-1647.2289

Abstract

Intracranial Solitary Fibrous Tumors (ISFTs) are rare mesenchymal neoplasms originating in the meninges and constitute a heterogeneous group of rare spindle cell tumors that include benign and malignant neoplasms of which hemangiopericytoma is nowadays considered a cellular phenotypic variant. According to the literature, the incidence of coexistence of brain tumors and intracranial aneurysms is evaluated to be 0.7% to 5.4%. In the literature, meningioma is the most frequent tumor coexisted with intracranial aneurysms, followed by pituitary adenoma, neuroepithelial tumor, and metastatic tumor. We would like to report a case of 74-year-old man harboring a rare intracranial solitary fibrous tumor/hemangiopericytoma and an unruptured aneurysm of the right middle cerebral artery which probably the first report of these combinations in the English literature. Both lesions were treated surgically in one session with favorable outcome. Magnetic resonance angiography should be performed in patients with brain tumor preoperatively not only to visualize neoplastic vascularization but also to pick up incidental aneurysm.

Keywords

Coexistence of brain tumors and intracranial aneurysms; Magnetic resonance angiography; CNS

Cite the article

Yip C-M, Lee H-P, Fu J-H, Hsu S-H. Co-Existence of Intracranial Solitary Fibrous Tumor/Hemangiopericytoma and Right Middle Cerebral Artery Aneurysm: A Case Report. Clin Surg. 2019; 4: 2289.