Primary Intracranial Sarcoma Presenting as Chronic Subdural Fluid Collections in a Child

World Neurosurgery
Chad A GlennTimothy B Mapstone

Abstract

Chronic subdural hematoma in the pediatric population often results from trauma. Asymptomatic and benign-appearing subdural collections are generally managed conservatively without operative intervention. Primary intracranial sarcomas are uncommon entities. Diagnosis of sarcoma can be difficult because these lesions often manifest as apparent hematoma. Presented is the case of a primary intracranial mucoid spindle cell sarcoma that arose in a child with a history of benign-appearing bilateral subdural fluid collections in the setting of nonaccidental trauma. The patient was initially managed conservatively because her neurological examination result was normal and her subdural collections decreased in size on repeated imaging. The collections did not resolve completely. Years later, she exhibited weakness, seizure, and an increase in the size of her subdural fluid collection. Subdural drainage was attempted without significant effect. Cytologic assessment of fluid was negative for malignant cells. Magnetic resonance imaging revealed multiple enhancing masses along the subdural collection. The patient eventually underwent craniotomy in which a diagnosis of sarcoma was obtained. Pathological and radiographic findings as well as o...Continue Reading

References

May 1, 1991·Histopathology·W PaulusK Jellinger
Jul 1, 1995·Journal of Computer Assisted Tomography·E S NussbaumM J Nelson
Oct 24, 2003·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Mubarak Al-GahtanyManohar Shroft
Oct 20, 2009·Archives of Orthopaedic and Trauma Surgery·Vasileios A KontogeorgakosBrian E Brigman

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Citations

Apr 25, 2019·British Journal of Neurosurgery·Guowen QinYouming Liang

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