Low grade astrocytoma causing dural and calvarial destruction

Handzhiev, D.; Kalevski, Svetoslav; Handzhieva, Stanislava V; Dzhenkov, Deyan; Salieva-Badi, Suna

doi:10.1016/j.jocn.2017.02.002

Cited by 5 publications

(6 citation statements)

References 7 publications

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“…Bone erosion by HPCs are documented to be 44%-59%, while hyperostosis or intratumoral calcification are commonly not present [3 , 4] . Primary calvarial erosion is an infrequent manifestation in association with brain tumor, and if present, can be caused by oligodendroglioma [5] , [6] , [7] , astrocytoma [8] , [9] , [10] , astroblastoma [11 , 12] , xanthoastrocytoma [13] , and glioblastoma [14] . However, to our knowledge, no study has documented brain HPC-associated calvarial erosions in detail.…”

Section: Introductionmentioning

confidence: 99%

Atypical meningeal hemangiopericytoma presenting with punched-out calvarial erosion

Nishioka

Tsutsumi

Teramoto

et al. 2020

Radiology Case Reports

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Meningeal hemangiopericytoma (HPC) is an infrequent but distinct entity affecting the craniospinal axis. A previously healthy 48-year-old man sustained a gradually progressing motor weakness in the left lower extremity. CT showed a hyperdense mass in the right frontal lobe. On MRI, it was 29 × 30 × 36 mm in dimension, appeared isointense on T1 and hyperintense on T2, and was intensely enhanced with erosive changes in the inner table adjacent to the tumor. The patient underwent tumor resection. Reflection of the bone flap revealed a punched-out erosion in the inner table with a defect of the dura over the upper part of the tumor. Microscopic findings were consistent with grade III HPC with dural invasion. A punched-out calvarial erosion and dural defect caused by an extra-axial tumor may be a high-grade HPC that requires extensive surgical resection.

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Section: Introductionmentioning

confidence: 99%

Atypical meningeal hemangiopericytoma presenting with punched-out calvarial erosion

Nishioka

Tsutsumi

Teramoto

et al. 2020

Radiology Case Reports

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“…To the best of our knowledge, four case reports about low-grade astrocytoma with bone erosion have been made, of which three are representative and well documented. 2 5 6 7 The clinical characteristics (demographics, clinical presentation, calvarial erosion and tumor localization, surgical findings and outcomes) of five cases including our case were gathered on a summarized table ( Table 1 ). Handzhiev et al described a case of parietal low-grade glioma with destruction of the dura and calvaria in the absence of prior surgery or radiation; in his case the tumor mass was found beneath the intact external table in the diploe and the dura under this mass had a ring-shaped perforation.…”

Section: Discussionmentioning

confidence: 99%

Low-Grade Astrocytoma Causing Dural and Calvarial Destruction

et al. 2023

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Most of the literature on intra-axial lesions causing calvarial and dural destruction comes from case reports for glioblastoma, lymphoma, metastasis, and aggressive meningioma. Destruction of dura and calvaria by low-grade gliomas is extremely uncommon; cases reported so far have been mostly oligodendrogliomas. This article describes the unusual case of a 23-year-old male patient with a left-sided intra and extracranial tumor involving the frontal lobe, destroying the overlying dura and calvaria, who underwent maximal safe resection. Histopathology showed the tumor to be a low-grade astrocytoma. The calvarial thinning or remodeling caused by low-grade gliomas is thought to result from their chronic mass effect, by displacing the overlying layer of cerebrospinal fluid and transmitting brain pulsations directly to the inner table of the skull. Pressure thinning of the inner table of the skull may be caused by Pacchionian granulations close to the midline. Although this is extremely uncommon, magnetic resonance imaging may include low-grade astrocytoma in the differential diagnosis in such cases.

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“…Therefore, calvarial erosion, an infrequent manifestation of primary brain tumor, was deemed a diagnostic clue to AEs, especially when a supratentorial tumor predominantly involves the cerebral cortex. Whilst, calvarial erosion can be a manifestation of various benign and malignant parenchymal lesions [1] , [2] , [3] , [4] , [5] , [6] . Radiologists need to assume it when encountered a brain tumor with concurrent calvarial erosion.…”

Section: Discussionmentioning

confidence: 99%

“…Calvarial erosion is an infrequent manifestation of primary brain tumors that has been documented in association with oligodendrogliomas, astrocytomas, dysembryoplastic neuroepithelial tumors, astroblastomas, glioblastomas, and meningiomas [1] , [2] , [3] , [4] , [5] , [6] . Ependymomas are a distinct entity of glial tumor.…”

Section: Introductionmentioning

confidence: 99%

Supratentorial extraventricular ependymoma presenting calvarial erosion: A report of 3 cases

Takaki

Tsutsumi

Teramoto

et al. 2021

Radiology Case Reports

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Calvarial erosion is an infrequent manifestation associated with oligodendrogliomas, astrocytomas, dysembryoplastic neuroepithelial tumors, astroblastomas, glioblastomas, and meningiomas. Anaplastic ependymoma (AE), a rare malignant form of ependymoma, commonly results in poor prognosis. During the last 12 years, six patients were diagnosed with supratentorial ependymomas. All of them were AEs with extraventricular location identified in the right parietal, left parietal, and left frontal lobes, respectively. Three of them, 7-, 15, and 17-year-old male patients, presented focal calvarial erosion with smooth contour. Calvarial erosion may be a diagnostic hallmark of supratentorial AEs.

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Low grade astrocytoma causing dural and calvarial destruction

Cited by 5 publications

References 7 publications

Atypical meningeal hemangiopericytoma presenting with punched-out calvarial erosion

Atypical meningeal hemangiopericytoma presenting with punched-out calvarial erosion

Low-Grade Astrocytoma Causing Dural and Calvarial Destruction

Supratentorial extraventricular ependymoma presenting calvarial erosion: A report of 3 cases

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