Ewing’s sarcoma of pelvis with intracranial dural metastases

Primary Ewing’s sarcoma of bone is an aggressive malignancy with a high rate of metastases. The pelvic bone is primarily involved in nearly 25% of cases. Primary or metastatic intracranial Ewing’s sarcoma is rare with a reported incidence of 1.2% for primary and 0.3% for metastatic intracranial lesions from extracranial Ewing’s sarcoma. Intracranial dural metastases of Ewing’s sarcoma are a very rare finding; only three cases have been reported in the literature to date. We report an unusual presentation of Ewing’s sarcoma of the pelvis with dural metastases.