Singh Harnarayan, Patir Rana, Gupta Anurag, Vaishya Sandeep
Department of Neurosurgery, Fortis Memorial Research Institute, Gurgaon, Haryana, India.
Asian J Neurosurg. 2018 Jul-Sep;13(3):885-887. doi: 10.4103/ajns.AJNS_356_16.
First reported case of simultaneous occurrence of hemangiopericytomas(HCP) at multiple sites of craniospinal axis in a thirty four year male is presented. Patient presented with neck pain for 1 year, and one episode of simple partial seizure involving his left lower limb. He was diagnosed as having HCP in right middle one third parasagittal region, and C4,5 vertebral bodies. Another lesion was present in L5 vertebra, which was radiologically similar to the cervical lesion, but not biopsy proven. High index of suspicion, and low threshold for screening, for coexistence of spinal HCP, in patients harboring cranial HCP's and complaints of back pain.
本文报告了首例34岁男性患者在颅脊柱轴多个部位同时发生血管外皮细胞瘤（HCP）的病例。患者出现颈部疼痛1年，并有一次累及左下肢的单纯部分性发作。他被诊断为右侧中三分之一矢状旁区域及C4、5椎体患有HCP。L5椎体存在另一个病变，影像学上与颈部病变相似，但未经活检证实。对于患有颅骨HCP且有背痛主诉的患者，应高度怀疑并降低筛查阈值，以排查脊柱HCP的共存情况。
