Seeding of Abdomen with Primary Intracranial Hemangiopericytoma by Ventriculoperitoneal Shunt

Case Report

Kelly Bridges, Rebecca Sauerwein, Marjorie Grafe, Vassiliki Tsikitis, Aaron Halfpenny, Ahmed Raslan

Research output: Contribution to journalArticle

Abstract

Background: Ventriculoperitoneal shunt (VPS) placement has been implicated in extraneural metastasis of many primary central nervous system tumors. Reported cases include, but are not limited to, medulloblastoma, germ cell tumor, astrocytoma, oligodendroglioma, lymphoma, ependymoma, melanoma, and choroid plexus tumors. However, a literature review reveals no reported cases of extraneural metastasis of solitary fibrous tumor/hemangiopericytoma (SFT/HPC). Case Description: Here we report the case of a 34-year-old man with recurrent intracranial malignant SFT/HPC who had undergone surgical tumor resection and subsequent placement of a VPS for obstructive hydrocephalus in 2004. Subsequently, the patient presented in 2011 and again in 2013 with abdominal SFT/HPC metastasis likely caused by the presence of the VPS. Conclusion: The case raises concern regarding placement of a VPS in patients with obstructive hydrocephalus caused by SFT/HPC. To avoid spread of SFT/HPC to the abdomen, we propose that patients with intracranial SFT/HPC and obstructive hydrocephalus be treated primarily by endoscopic third ventriculostomy.

Original languageEnglish (US)
JournalWorld Neurosurgery
DOIs
StateAccepted/In press - 2017

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Solitary Fibrous Tumors
Hemangiopericytoma
Ventriculoperitoneal Shunt
Abdomen
Hydrocephalus
Neoplasm Metastasis
Choroid Plexus Neoplasms
Ventriculostomy
Oligodendroglioma
Ependymoma
Central Nervous System Neoplasms
Medulloblastoma
Germ Cell and Embryonal Neoplasms
Astrocytoma
Melanoma
Lymphoma

Keywords

  • Endoscopic third ventriculostomy
  • Hemangiopericytoma
  • Obstructive hydrocephalus
  • Ventriculoperitoneal shunt

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Seeding of Abdomen with Primary Intracranial Hemangiopericytoma by Ventriculoperitoneal Shunt : Case Report. / Bridges, Kelly; Sauerwein, Rebecca; Grafe, Marjorie; Tsikitis, Vassiliki; Halfpenny, Aaron; Raslan, Ahmed.

In: World Neurosurgery, 2017.

Research output: Contribution to journalArticle

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AU - Tsikitis, Vassiliki

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