Metastatic hemangiopericytoma presenting as an epidural spinal cord lesion

Steven David Brass, Marie Christine Guiot, Steffen Albrecht, Rafael Glikstein, Gérard Mohr

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objective: Hemangiopericytoma is an aggressive vascular tumour that rarely affects the central nervous system and is even more rarely spinal in presentation. The clinical features of a patient with a recurrent extraspinal hemangiopericytoma presenting with an epidural spinal cord compression by local invasion are described, including a review of the literature on metastatic hemangiopericytoma to the spine. Methods: A case of a 53-year-old male, with a recurrent extraspinal hemangiopericytoma which metastasized to the thoracic spine five years after detection of the primary tumour is presented. A chart review was conducted where all pertinent history, physical, laboratory, and radiological data were collected. A Pub-Med search using the keyword "hemangiopericytoma" identified all reported cases documenting clinical features, treatment, recurrence and outcome with respect to metastatic hemangiopericytoma to the spine. Results: Nine patients have been reported to have metastatic hemangiopericytoma to the spine. The median patient age was 47 years and there was a slight male preference. An unusual feature of the hemangiopericytoma is the prolonged period, up to 16 years, between the diagnosis of the primary hemangiopericytoma and the metastases to the spine. All patients were treated with a combination of radiation and surgery. Conclusion: Hemangiopericytomas show a slow clinical evolution with a strong propensity to relapse long after previous treatment and thus, once identified, prolonged follow-up for recurrence is indicated. A close follow-up of these patients is required because of frequent recurrences and delayed metastases even if the primary lesion was well-controlled. Although overall uncommon, hemangiopericytoma should be kept in mind in the differential diagnosis of vascular epidural spinal cord tumours.

Original languageEnglish (US)
Pages (from-to)550-553
Number of pages4
JournalCanadian Journal of Neurological Sciences
Volume31
Issue number4
StatePublished - Nov 2004
Externally publishedYes

Fingerprint

Hemangiopericytoma
Spinal Cord
Spine
Recurrence
Blood Vessels
Epidural Neoplasms
Spinal Cord Neoplasms
Neoplasm Metastasis
Spinal Cord Compression
Neoplasms
Differential Diagnosis
Thorax
Central Nervous System
History

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Brass, S. D., Guiot, M. C., Albrecht, S., Glikstein, R., & Mohr, G. (2004). Metastatic hemangiopericytoma presenting as an epidural spinal cord lesion. Canadian Journal of Neurological Sciences, 31(4), 550-553.

Metastatic hemangiopericytoma presenting as an epidural spinal cord lesion. / Brass, Steven David; Guiot, Marie Christine; Albrecht, Steffen; Glikstein, Rafael; Mohr, Gérard.

In: Canadian Journal of Neurological Sciences, Vol. 31, No. 4, 11.2004, p. 550-553.

Research output: Contribution to journalArticle

Brass, SD, Guiot, MC, Albrecht, S, Glikstein, R & Mohr, G 2004, 'Metastatic hemangiopericytoma presenting as an epidural spinal cord lesion', Canadian Journal of Neurological Sciences, vol. 31, no. 4, pp. 550-553.
Brass SD, Guiot MC, Albrecht S, Glikstein R, Mohr G. Metastatic hemangiopericytoma presenting as an epidural spinal cord lesion. Canadian Journal of Neurological Sciences. 2004 Nov;31(4):550-553.
Brass, Steven David ; Guiot, Marie Christine ; Albrecht, Steffen ; Glikstein, Rafael ; Mohr, Gérard. / Metastatic hemangiopericytoma presenting as an epidural spinal cord lesion. In: Canadian Journal of Neurological Sciences. 2004 ; Vol. 31, No. 4. pp. 550-553.
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