Key result
Surgical resection of two intracranial mixed hemangioendotheliomas followed by adjuvant thalidomide and radiosurgery resulted in significant clinical improvement without tumor progression at two months.
Why the study?
Intracranial presentation of hemangioendotheliomas is extremely rare, and their prognosis is not well-defined due to few reported cases.
Case Report (n=1)
No
This case report demonstrates the successful surgical management of a rare intracranial hemangioendothelioma with double location.
Rare intracranial hemangioendothelioma may cause hemiplegia; Level 5 case leaves open optimal management strategies.
Hemangioendotheliomas are highly vascularized lesions, and their intracranial presentation is extremely rare. We present the case of a 65-year-old female patient who was evaluated for cranial deformity, headache, and left hemiplegia. Two bone lesions that were destroying and expanding the bone diploe with intracranial extension were identified in the fronto-temporal and parietal regions. Both lesions were multilobed and showed heterogeneous behavior. Mixed hemangioendotheliomas were identified after the successful resection of both tumors in two separate surgical procedures. The prognosis of this type of tumor with an intracranial location is not well-defined because there are too few reported cases.
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Hernández-Hernández et al. (2022) conducted a case report in Intracranial Hemangioendothelioma (n=1). Surgical resection was evaluated on Clinical improvement and tumor progression. Surgical resection of two intracranial mixed hemangioendotheliomas followed by adjuvant thalidomide and radiosurgery resulted in significant clinical improvement without tumor progression at two months.
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