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Management of intracranial meningeal hemangiopericytomas: outcome and experience

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Abstract

Hemangiopericytomas represent rare intracranial tumors that have a tendency to recur locally and have the unique characteristic of giving extracranial metastases. Our current communication reviews a series of patients diagnosed with hemangiopericytoma who were treated in our facility. Eleven patients with a mean age of 51.2 years underwent follow-up for a mean time of 7.1 years. Their neuroimaging preoperative evaluation included plain skull X-rays, head CT scans, brain MRI, angiograms, and 1HMRS. Preoperative embolization of the tumor was employed in 6/11 patients. All patients underwent craniotomy for tumor resection and postoperative radiation treatment was employed on all but one. Grade I resection was accomplished in 6/11 (54.5%), grade III in 4/11 (36.4%), and grade IV in 1/11 (9.1%). Local recurrence was detected in 3/11 (27.3%) at a mean period of 5 (range 2–7.5) years. Extracranial metastatic disease was documented in 4/11 (36.4%) patients at a mean of 4.9 (range 2.5–7) years after the initial diagnosis. The GOS score was: 7/11 (63.6%) scored 5, while 4/11 (36.4%) died at a mean time of 5.5 (range 3–8) years after the initial diagnosis. Intracranial hemangiopericytomas management requires aggressive surgical resection, postoperative radiation treatment, and extensive follow-up to rule out local recurrences and delayed extracranial metastases.

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  1. Department of Neurosurgery, Medical Center of Central Georgia, Mercer University, School of Medicine, Macon, GA, 31201-2155, USA

    K. N. Fountas, E. Kapsalaki, M. Kassam, C. H. Feltes, V. G. Dimopoulos & J. S. Robinson

  2. Department of Neurosurgery, Medical College of Georgia, Augusta, GA, 30912, USA

    J. R. Smith

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  1. K. N. Fountas
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Fountas, K.N., Kapsalaki, E., Kassam, M. et al. Management of intracranial meningeal hemangiopericytomas: outcome and experience. Neurosurg Rev 29, 145–153 (2006). https://doi.org/10.1007/s10143-005-0001-9

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