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- W2326174328 abstract "Intracranial hemangiopericytoma is a rare entity, accounting for less than 1% of CNS tumors; it is exceptionally infrequent among the pediatric population. We describe a case of an atypical hemangiopericytoma arising from Meckel's cave in a 4-year-old boy. The patient was in remission for acute lymphoblastic leukemia when he developed progressive gait difficulty, nausea, and vomiting. He was found to have a 6-cm dumbbell-shaped lesion extending from Meckel's cave to the root entry zone of the trigeminal nerve, which was not appreciated on a screening MRI done 12 months prior. Notably, the patient also had elevated parathyroid hormone levels. An external ventricular drain was placed to treat clinical hydrocephalus and confirm negative cytology for leukocytic disease. Initially, a retrosigmoid craniectomy was performed for resection of the tumor within the cerebellopontine angle and to obtain tissue for diagnosis. Final pathology returned as infantile hemangiopericytoma with recommendation for complete surgical resection. The patient underwent a preauricular infratemporal craniotomy with anterior petrosectomy for removal of the tumor within the middle fossa. The patient had improvement in his left-sided hemiparesis, but did sustain permanent injury to the trigeminal nerve secondary to infiltration of tumor within the trigeminal nerve. His hyperparathyroidism normalized following the procedure. Skull base tumors in the pediatric population are generally rare, and this subtype in particular is represented by a paucity of data in the neurosurgical literature. This is the first description of treatment of this type of tumor in this location in the pediatric population." @default.
- W2326174328 created "2016-06-24" @default.
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- W2326174328 date "2012-05-02" @default.
- W2326174328 modified "2023-10-18" @default.
- W2326174328 title "Case of a 4-Year-Old Boy Who Underwent Staged Resection of an Atypical Hemangiopericytoma Arising from Meckel's Cave" @default.
- W2326174328 doi "https://doi.org/10.1055/s-0032-1314386" @default.
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