Cluster‐Like Headache Secondary to Parasagittal Hemangiopericytoma

Fontaine, Denys; Almairac, Fabien; Mondot, Lydiane; Lantéri-Minet, Michel

doi:10.1111/j.1526-4610.2012.02287.x

Cited by 6 publications

(1 citation statement)

References 3 publications

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“…[13] e clinical presentation of SFT/M-HPC is not specific and has poor diagnostic value -most patients present with headache, vomiting, motor weakness, and seizures. [4] Liu et al outline several important differences in the initial differential diagnosis between meningeal HPC and meningioma [Table 1]. [10] Table 1: Differences between meningeal hemangiopericytoma and meningioma.…”

Section: Discussionmentioning

confidence: 99%

Parasagittal meningeal hemangiopericytoma/solitary fibrous tumor: Two case reports and a literature review

Cekov,

Vezirska,

Tzekov

et al. 2024

Surgical Neurology International

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Background: Solitary fibrous tumor/meningeal hemangiopericytoma (SFT/M-HPC) is a rare neoplasm which accounts for around 1% of the intracranial masses. This pathology has a high risk for recurrence and metastasis to distant locations such as the liver, lungs, and bones. Precise diagnosis necessitates detailed histopathological examination. Case Description: We present two case reports of SFT/M-HPC. The first case is a 44-year-old female who presented with headache, nausea, vomiting, and frontal ataxia for several months. Imaging findings showed a large parasagittal extra-axial mass with compression of the frontal horns of both lateral ventricles. She underwent gross total resection with an uncomplicated postoperative period. The patient had no recurrent tumors or distal metastases in the follow-up period of 5 years. The second case is a 48-year-old male who presented with right-sided hemianopsia and hemiparesis. Computed tomography (CT) scans revealed a large parieto-occipital extra-axial mass with superior sagittal sinus engulfment and dislocation of the interhemispheric fissure. He underwent gross total resection with an uncomplicated postoperative period. Six years later, he presented with right-sided weakness. CT scan showed a multifocal recurrent mass at the previous location. He underwent subtotal resection with an uncomplicated postoperative period. Conclusion: SFT/M-HPC should be considered when presented with a meningioma-like tumor mass on preoperative imaging. Immunohistochemical study is crucial for the correct diagnosis. Strict long-term follow-up examinations and regular magnetic resonance imaging scans are key to preventing the appearance of metastases and large recurrent masses.

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Section: Discussionmentioning

confidence: 99%

Parasagittal meningeal hemangiopericytoma/solitary fibrous tumor: Two case reports and a literature review

Cekov,

Vezirska,

Tzekov

et al. 2024

Surgical Neurology International

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A Practical Approach to Autonomic Dysfunction in Patients with Headache

Ailani

2016

Curr Neurol Neurosci Rep

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The presence of autonomic symptoms can make the diagnosis of headache challenging. While commonly seen with the trigeminal autonomic cephalalgias, autonomic dysfunction can also be present in patients with migraine, or with a variety of secondary headaches. The pathophysiology of cranial autonomic symptoms in headache is based between the trigeminal system and the hypothalamus. This article will review the pathophysiology and presence of autonomic dysfunction in headache and will provide techniques to help in headache diagnosis in patients with autonomic dysfunction.

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Do Trigeminal Autonomic Cephalalgias Represent Primary Diagnoses or Points on a Continuum?

Charleston

2015

Curr Pain Headache Rep

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The question of whether the trigeminal autonomic cephalalgias (TACs) represent primary diagnoses or points on a continuum has been debatable for a number of years. Patients with TACs may present with similar clinical characteristics, and occasionally, TACS respond to similar treatments. Prima facie, these disorders may seem to be intimately related. However, due to the current evidence, it would be challenging to accurately conclude whether they represent different primary headache diagnoses or the same primary headache disorder represented by different points on the same continuum. Ultimately, the TACs may utilize similar pathways and activate nociceptive responses that result in similar clinical phenotypes but "original and initiating" etiology may differ, and these disorders may not be points on the same continuum. This paper seeks to provide a brief comparison of TACs via diagnostic criteria, secondary causes, brief overview of pathophysiology, and the use of some key treatments and their mechanism of actions to illustrate the TAC similarities and differences.

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Cluster‐Like Headache Secondary to Parasagittal Hemangiopericytoma

Cited by 6 publications

References 3 publications

Parasagittal meningeal hemangiopericytoma/solitary fibrous tumor: Two case reports and a literature review

Parasagittal meningeal hemangiopericytoma/solitary fibrous tumor: Two case reports and a literature review

A Practical Approach to Autonomic Dysfunction in Patients with Headache

Do Trigeminal Autonomic Cephalalgias Represent Primary Diagnoses or Points on a Continuum?

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