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Elhakeem AAS, Essa AA, Soliman RK. Chondroma of the falx cerebri: A case report and review of literature. Neuropathology 2019; 39:461-466. [PMID: 31584218 DOI: 10.1111/neup.12598] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2019] [Revised: 07/26/2019] [Accepted: 08/05/2019] [Indexed: 11/30/2022]
Abstract
Chondroma is a benign cartilage-forming tumor which usually occurs in small bones of extremities but occasionally occurs in the brain. Usually, intracranial chondromas originate from skull base; however, chondroma of the falx cerebri is a very rare condition. We here report a rare case of falcine chondroma in a 19-year-old man who had normal physical examination without signs of any syndromic disorder. The neuroimaging findings were inconclusive, and the diagnosis was based on histopathological examination. The purpose of this paper is to raise attention about intracranial chondromas and suggest that chondroma must be ruled out in any patient presenting with masses arising from the falx.
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Affiliation(s)
- Ahmed A S Elhakeem
- Department of Pathology, Faculty of Medicine, Al-Azhar University (Asyut Branch), Asyut, Egypt
| | - Abdelhakeem A Essa
- Department of Neurosurgery, Faculty of Medicine, Asyut University, Asyut, Egypt
| | - Radwa K Soliman
- Department of Radiology, Faculty of Medicine, Asyut University, Asyut, Egypt
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2
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Al Mohtaseb AH, Hallak AH, Aldaoud N, Rousan LA, Haddad HK, Abuzayed B. Chondroma of the Falx Cerebri with Central Cystic Degeneration and Hemorrhage: A Case Report. AMERICAN JOURNAL OF CASE REPORTS 2019; 20:1331-1335. [PMID: 31494664 PMCID: PMC6753673 DOI: 10.12659/ajcr.916794] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Abstract
Patient: Male, 44 Final Diagnosis: Falx cerberi chondroma Symptoms: Headache Medication: — Clinical Procedure: Resection of the tumor Specialty: Neurosurgery
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Affiliation(s)
- Alia H Al Mohtaseb
- Department of Pathology and Microbiology, Jordan University of Science and Technology, Irbid, Jordan
| | - Amer H Hallak
- Medical School, Jordan University of Science and Technology, Irbid, Jordan
| | - Najla Aldaoud
- Department of Pathology and Microbiology, Jordan University of Science and Technology, Irbid, Jordan
| | - Liqa A Rousan
- Department of Diagnostic and Interventional Radiology and Nuclear Medicine, Jordan University of Science and Technology, Irbid, Jordan
| | - Husam Kammel Haddad
- Department of Pathology and Microbiology, Jordan University of Science and Technology, Irbid, Jordan
| | - Bashar Abuzayed
- Division of Neurosurgery, Department of Surgery, Specialty Hospital, Amman, Jordan
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Hall NDP, Fabinyi G, Gul SM, Cher L, Leibsch NJ. Spinal drop metastasis from grade I skull base chondrosarcoma. J Clin Neurosci 2009; 17:135-7. [PMID: 19864142 DOI: 10.1016/j.jocn.2009.02.033] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2008] [Revised: 02/19/2009] [Accepted: 02/24/2009] [Indexed: 11/18/2022]
Abstract
Chondrosarcoma of the skull base is a rare tumour with a good prognosis following surgical resection. We describe a patient with low-grade chondrosarcoma of the skull base with intradural extramedullary spinal metastases. A 31-year-old female with grade 1 chondrosarcoma involving the cavernous sinus, sphenoid wing and clivus presented at age 19. The tumour was subtotally excised at initial surgery and over the following 4 years, 3 subsequent resections were undertaken for tumour progression followed by proton beam radiotherapy to the residual tumour. The patient re-presented with cervical radiculopathy 7 years later. MRI showed multiple, intradural extramedullary spinal drop metastases. Following surgical excision of the symptomatic lesion, histological diagnosis was confirmed as a mixed hyaline/myxoid grade 1 chondrosarcoma. Patients with skull base chondrosarcoma with intradural extension should have whole spine imaging as part of long-term monitoring to exclude drop metastases, particularly after intradural surgery.
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Affiliation(s)
- Nick D P Hall
- Department of Neurosurgery, Austin Hospital, PO Box 5555, Heidelberg, Victoria 3084, Australia.
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Cosar M, Iplikcioglu AC, Bek S, Gokduman CA. Intracranial falcine and convexity chondromas: two case reports. Br J Neurosurg 2009; 19:241-3. [PMID: 16455525 DOI: 10.1080/02688690500207322] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Intracranial chondromas are uncommon intracranial tumours that most frequently arise from the skull base. They can, however, arise from the calvarium or the meninges. In these cases their neuroradiological features may mimic other intracranial tumours. We present two cases of intracranial chondroma, one that originated from the convexity and the other from the falx. Total excision was achieved in both cases. The literature on intracranial chondromas is reviewed.
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Affiliation(s)
- Murat Cosar
- Okmeydani Training Hospital, Neurosurgery Department, Istanbul, Turkey.
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Fountas KN, Stamatiou S, Barbanis S, Kourtopoulos H. Intracranial falx chondroma: Literature review and a case report. Clin Neurol Neurosurg 2008; 110:8-13. [PMID: 17913345 DOI: 10.1016/j.clineuro.2007.08.020] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2007] [Revised: 08/16/2007] [Accepted: 08/21/2007] [Indexed: 11/19/2022]
Abstract
Intracranial chondromas are benign tumors that represent approximately 0.5% of all intracranial tumors. They usually occur at the base of the skull but on rare occasions might present as intra-parenchymal or intra-ventricular space-occupying lesions, most likely originating from heterotopic chondrocytes or metaplastic fibroblasts of the falx, the convexity dura, or the ventricular ependyma. Chondromas are slow-growing tumors, which remain clinically silent for a prolonged period of time in the majority of cases. Their clinical presentation is non-specific and their radiographic appearance usually does not differentiate them from their more common counterparts, such as meningiomas and glial tumors. As a result, their diagnosis has remained a histopathologic one. In our current study, we present a case of a falcine intracranial chondroma. This case provided the opportunity to extensively review the pertinent literature.
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Affiliation(s)
- Kostas N Fountas
- Department of Neurosurgery, University Hospital of Larisa, School of Medicine, University of Thessaly, Larisa, Greece.
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Erdogan S, Zorludemir S, Erman T, Akgul E, Ergin M, Ildan F, Bagdatoglu H. Chondromas of the falx cerebri and dural convexity: report of two cases and review of the literature. J Neurooncol 2006; 80:21-5. [PMID: 16937014 DOI: 10.1007/s11060-005-9082-0] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Intracranial chondromas usually arise from the base of the skull. They rarely originate from the convexity dura and falx. Here we describe two cases of intracranial chondroma located at the convexity dura and falx, discuss the genesis, radiologic, histologic features and review the literature.
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Affiliation(s)
- Seyda Erdogan
- Department of Pathology, Cukurova University, Medical Faculty, 01330, Balcali/Adana, Turkey.
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7
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Laidlaw JD, Kumar A, Chan A. Dural metastases mimicking meningioma. Case report and review of the literature. J Clin Neurosci 2004; 11:780-3. [PMID: 15337150 DOI: 10.1016/j.jocn.2004.03.001] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2003] [Accepted: 03/01/2004] [Indexed: 11/21/2022]
Abstract
The typical appearance of meningioma on CT and MRI is well known. Particularly in the elderly, the imaging appearance is sometimes considered diagnostic of these benign tumours without histopathological confirmation. However, other more aggressive neoplasms can present with a classical CT and MRI appearance of meningioma, indicating the need for histopathological confirmation wherever possible. We report a case of dural metastases which, on both pre-operative CT and MRI and at surgery, had the typical appearance of a falcine meningioma. Histopathology and immunohistochemistry revealed adenocarcinoma of renal cell origin, and the renal primary was identified on subsequent abdominal investigation. The literature regarding dural metastases is reviewed. To our knowledge, this is the first reported case of a renal carcinoma metastasizing directly to the dura. Although rare, dural metastases can mimic meningioma, and this needs to be considered if conservative therapy or radiosurgery are to be offered to a patient with radiological diagnosis of meningioma.
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Affiliation(s)
- John D Laidlaw
- Department of Neurosurgery, The Royal Melbourne Hospital, Parkville, Vic. 3050, Australia.
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Chandler JP, Yashar P, Laskin WB, Russell EJ. Intracranial chondrosarcoma: a case report and review of the literature. J Neurooncol 2004; 68:33-9. [PMID: 15174519 DOI: 10.1023/b:neon.0000024728.72998.7d] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE AND IMPORTANCE Chondrosarcomas rarely occur intracranially away from the skull base. We present a case of a supratentorial dural-based, low-grade classic chondrosarcoma and emphasize salient imaging findings that assist in its diagnosis. CLINICAL PRESENTATION A 23-year-old female presented with new onset seizures. Multiple radiographic imaging studies identified a large left frontal mass with radiological findings that suggested the correct diagnosis. INTERVENTION The patient underwent a left frontal craniotomy and gross total resection of the lesion and associated dura. CONCLUSION Intracranial chondrosarcomas away from the skull based are extremely rare malignancies. As with other extra-axial masses, they often grow to a relatively large size before generating symptoms. Careful analysis of CT, MR, and angiographic imaging characteristics should suggest the correct diagnosis.
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Affiliation(s)
- James P Chandler
- Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA.
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Nakayama M, Nagayama T, Hirano H, Oyoshi T, Kuratsu J. Giant chondroma arising from the dura mater of the convexity. Case report and review of the literature. J Neurosurg 2001; 94:331-4. [PMID: 11213975 DOI: 10.3171/jns.2001.94.2.0331] [Citation(s) in RCA: 38] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Chondromas arising from the dura mater are rare intracranial tumors. The authors present a case of intracranial giant chondroma originating from the dura mater of the convexity. Neuroimaging and surgical findings are described. The diagnostic clues are discussed and similar cases from the literature are reviewed.
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Affiliation(s)
- M Nakayama
- Department of Neurosurgery, Faculty of Medicine, Kagoshima University, Japan
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Miura FK, De Aguiar PH, Michailowsky C, Stávale MA, Navarro HT, Martinez JA, Rotta M. [Falx osteochondroma: case report and review of the literature]. ARQUIVOS DE NEURO-PSIQUIATRIA 1997; 55:618-24. [PMID: 9629416 DOI: 10.1590/s0004-282x1997000400018] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
One case of an intracranial osteochondroma originating from the falx is described. The tumor was partially removed. Surgical aspects and etiopathogenesis of falx chondromas are discussed. The values of computerized tomography and magnetic resonance are emphasized.
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Affiliation(s)
- F K Miura
- Faculdade de Medicina, Universidade de São Paulo (FMUSP), Brasil
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Kurt E, Beute GN, Sluzewski M, van Rooij WJ, Teepen JL. Giant chondroma of the falx. Case report and review of the literature. J Neurosurg 1996; 85:1161-4. [PMID: 8929512 DOI: 10.3171/jns.1996.85.6.1161] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
The authors describe the radiological and pathological features in a patient with an intracranial chondroma originating in the falx cerebri. Diagnostic procedures and management in treatment are discussed, and a review of the literature is presented.
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Affiliation(s)
- E Kurt
- Department of Neurosurgery, University Hospital Maastricht, The Netherlands
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12
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Lacerte D, Gagné F, Copty M. Intracranial chondroma. Report of two cases and review of the literature. Neurol Sci 1996; 23:132-7. [PMID: 8738927 DOI: 10.1017/s0317167100038865] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
INTRODUCTION Chondromas are rare intracranial tumors. The authors present two cases of intracranial intradural chondroma, one originating from the falx cerebri and the other from the dura mater of the convexity. METHOD AND RESULTS Diagnostic procedures, including magnetic resonance imaging, and surgical findings are described. In both cases, pre-operative diagnosis could have been at least suspected, and the tumor was completely removed, without recurrence after a follow-up of many years. The pathogenesis and pathological findings are discussed, and cases from the literature are reviewed. CONCLUSION Benign intradural chondroma has a good prognosis, with no recurrence after surgical excision in most cases.
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Affiliation(s)
- D Lacerte
- Department of Neurosurgery, Hôpital de l'Enfant-Jésus, Québec, Canada
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Nakazawa T, Inoue T, Suzuki F, Nakasu S, Handa J. Solitary intracranial chondroma of the convexity dura: case report. SURGICAL NEUROLOGY 1993; 40:495-8. [PMID: 8235973 DOI: 10.1016/0090-3019(93)90053-4] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
We present a rare case of chondroma originated from the dura mater of the cerebral convexity in a 16-year-old girl. Radiologic findings are reported with emphasis on computed tomography and magnetic resonance imaging scans, and histogenesis is briefly discussed.
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Affiliation(s)
- T Nakazawa
- Department of Neurosurgery, Shiga University of Medical Science, Ohtsu, Japan
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