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Acta Neurochirurgica

, Volume 141, Issue 3, pp 307–313 | Cite as

Parasagittal Solitary Fibrous Tumor of the Meninges. Case Report and Review of the Literature

  • D. C. Nikas
  • U. De Girolami
  • R. D. Folkerth
  • L. Bello
  • A. A. Zamani
  • P. McL. Black

Summary

 The clinical, radiologic and pathologic features of a case of parasagittal solitary fibrous tumor of the meninges are reported. The patient was a 44 year-old male who presented with a complex partial seizure and a history of headaches and confusion. Radiological studies showed a large extra-axial dural-based mass in the right parietal region, predominantly isointense with gray matter and hypointense with respect to white matter on T1-weighted images, and hypointense with respect to gray matter on T2-weighted images. At surgery, the mass was very vascular, quite firm and very adherent to the convexity. Histologically the tumor was composed of spindle-shaped cells growing in fascicles within a collagenous matrix. Solitary fibrous tumor of the meninges is a newly described entity, which should be kept in mind in the clinical and radiological differential diagnosis of extra-axial brain tumors.

Keywords: Solitary fibrous tumor; CD 34; fibrous meningioma; spindle-cell neoplasm. 

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Copyright information

© Springer-Verlag Wien 1999

Authors and Affiliations

  • D. C. Nikas
    • 1
  • U. De Girolami
    • 2
  • R. D. Folkerth
    • 2
  • L. Bello
    • 3
  • A. A. Zamani
    • 4
  • P. McL. Black
    • 1
  1. 1.Neurosurgical Laboratories, Brigham & Women's Hospital, Brain Tumor Center, Brigham & Women's Hospital, Children's Hospital and Dana Farber Cancer Institute, Boston, Massachusetts
  2. 2.Divisions of Neuropathology, Brigham & Women's Hospital, Children's Hospital, Boston, Massachusetts
  3. 3.Department of Surgery, Harvard Medical School, Boston, Massachusetts
  4. 4.Department of Pathology, Harvard Medical School, Boston, Massachusetts

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