Turkish Neurosurgery 2012 , Vol 22 , Num 4
Solitary Fibrous Tumor of the Tentorium: A Case Report
Jacob Paul ALAPATT1, Ajaya Kumar A1, Aparna GOVINDAN2, Rajeev MP1, Radhakrishnan M1
1Government Medical College, Department of Neurosurgery, Kerala, India
2National Institute of Mental Health and Neurosciences, Department of Neuropathology, Bangalore, India
DOI : 10.5137/1019-5149.JTN.3223-10.2 The authors describe the clinical and pathological features of a solitary fibrous tumor of the tentorium, a rare location for the tumor in the CNS. A 52-year-old lady presented to the neurosurgical services with headache of four months and vertigo of one and a half months duration. On examination, she had left-sided cerebellar signs and bilateral papilloedema. Cranial MR imaging showed an enhancing tumor based on the left tentorium. Clinical impression was a meningioma. The patient underwent left suboccipital craniectomy. The tumor was firm and vascular, extending above the tent through a defect. Total excision was achieved. The correct diagnosis of solitary fibrous tumor could be made only by histopathology. Solitary fibrous tumors of the tentorium, though rare, should be included in the differential diagnosis of dural based masses. Keywords : Soliter fibrz tmr, Tentorium, Menenjiyom, CD 34, Hemanjiyoperisitom, Vimentin
Corresponding author : Aparna Govndan, aparnabyju@yahoo.co.in