Hemorrhagic presentation of a DICER-1-mutant primary intracranial sarcoma with negative MR spectroscopy: illustrative case.

Key Points

• To highlight challenges in interpreting negative MR spectroscopy results in hemorrhagic neoplasms and timing of resection.
• Presented an illustrative case of primary intracranial sarcoma with DICER-1 mutation.
• Evaluated MR spectroscopy results
• Assessed resection timing concerning spontaneous intracerebral hemorrhage (IPH).
• Negative MR spectroscopy did not provide clear diagnostics for the intracranial tumor.
• Challenges were identified in determining the optimal resection timing for the patient.