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BMJ Case Reports 2012; doi:10.1136/bcr.11.2011.5179
  • Unusual presentation of more common disease/injury

Haemangiopericytoma with no dural attachment

  1. Colin Shieff3
  1. 1Accident and Emergency Department, Luton and Dunstable Hospital, Luton, UK
  2. 2Neurosurgery Department, King’s College Hospital, London, UK
  3. 3Department of Neurosurgery, Royal Free Hospital, London, UK
  1. Correspondence to Dr Emily Spence, emily.spence{at}doctors.org.uk

Summary

The authors describe a case of a gentleman in his 40s who presented with a space-occupying lesion in the right precentral gyrus which showed no dural attachment and was well circumscribed, both on imaging and at surgery. This lesion was histologically challenging to diagnose but favoured to be a haemangiopericytoma. The lack of dural attachment is unusual for this tumour type but is typically associated with metastases to the brain, and less commonly a solid primary central nervous system tumour. The authors propose that haemangiopericytoma should be regularly considered as a differential diagnosis of cerebral metastases so that inadequate preoperative anticipation and planning is not encountered.

Footnotes

  • Competing interests None.

  • Patient consent Not obtained.

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