Ohsaka Tomoya, Kojita Yasuyuki, Urase Atsushi, Hirayama Ayumi, Yamada Minoru, Im Sung-Woon, Kono Atsushi K, Sanada Yasuhiro, Chikugo Takaaki, Tanigawa Noboru, Ishii Kazunari
Department of Radiology, Faculty of Medicine, Kindai University, Osakasayama, JPN.
Department of Radiology, Kansai Medical University, Hirakata, JPN.
Cureus. 2024 Apr 14;16(4):e58271. doi: 10.7759/cureus.58271. eCollection 2024 Apr.
Solitary fibrous tumor (SFT) is a rare interstitial tumor that originates from various soft tissues, and SFTs occurring within the cranium are extremely rare. While intracranial SFTs with cerebral hemorrhage or subarachnoid hemorrhage have been reported, there have been no reports of intracranial SFTs causing subdural hematoma. In this case, we report on an intracranial SFT accompanied by a subdural hematoma. A 29-year-old female was emergently transported due to the sudden onset of persistent headache and vomiting that began the night before. CT and MRI imaging revealed a hemorrhagic tumor under the tentorium and an acute subdural hematoma extending along the tentorium. The excised tumor was diagnosed as an SFT through histopathological examination. After undergoing radiation therapy, no recurrence has been observed. This is the first case report of an SFT accompanied by a subdural hematoma, and it is vital to recognize that SFTs can be associated with subdural hematomas for proper diagnosis and treatment planning.
孤立性纤维瘤（SFT）是一种罕见的间质性肿瘤，起源于各种软组织，而发生于颅骨内的SFT极为罕见。虽然已有颅内SFT伴脑出血或蛛网膜下腔出血的报道，但尚无颅内SFT导致硬膜下血肿的报道。在此病例中，我们报告一例伴有硬膜下血肿的颅内SFT。一名29岁女性因前一晚突然出现持续性头痛和呕吐而被紧急送来。CT和MRI成像显示小脑幕下有一个出血性肿瘤以及沿小脑幕延伸的急性硬膜下血肿。切除的肿瘤经组织病理学检查诊断为SFT。接受放射治疗后，未观察到复发。这是首例伴有硬膜下血肿的SFT病例报告，认识到SFT可能与硬膜下血肿相关对于正确的诊断和治疗规划至关重要。
