Skull Base Chondrosarcoma Presenting with Hemorrhage

A 34-year-old white man with a six month history of a feeling of déjà vu presented with an acute onset of headache and blurred vision associated with nausea and vomiting. Neurological examination was significant for a right third cranial nerve palsy. Computerized tomography (CT) demonstrated a 2.0 c...

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Bibliographic Details
Published in:Canadian journal of neurological sciences 2009-11, Vol.36 (6), p.774-775
Main Authors: Gallia, Gary L., Binder, Zev A., Schwarz, Jacob, Moriarity, John L., Weingart, Jon D.
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Chondrosarcoma - complications
Chondrosarcoma - diagnosis
Humans
Intracranial Hemorrhages - complications
Intracranial Hemorrhages - diagnosis
Magnetic Resonance Imaging - methods
Male
Medical sciences
Neurology
Skull Base Neoplasms - complications
Skull Base Neoplasms - diagnosis
Tomography, X-Ray Computed - methods
Vascular diseases and vascular malformations of the nervous system
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Summary:A 34-year-old white man with a six month history of a feeling of déjà vu presented with an acute onset of headache and blurred vision associated with nausea and vomiting. Neurological examination was significant for a right third cranial nerve palsy. Computerized tomography (CT) demonstrated a 2.0 cm rim calcified right paracavernous mass with intratumoral hemorrhage and an adjacent 2.6 cm by 2.0 cm right temporal lobe hematoma. Intraventricular hemorrhage (IVH) was present in both lateral ventricles, right more than left (Figure 1). Diagnostic cerebral angiography demonstrated no evidence of aneurysm. Brain magnetic resonance (MR) imaging revealed a 2 cm mass in the right paracavernous region extending into the suprasellar region with heterogeneous signal intensity on T1- and T2-weighted images and heterogeneous enhancement after gadolinium administration. Adjacent to the lesion was a right temporal lobe hematoma; intraventricular hemorrhage was also observed in the right lateral ventricle (Figure 2). The patient underwent a right pterional craniotomy for gross total resection of the tumour. Histopathological examination of the tumour demonstrated a low grade hyaline chondrosarcoma. The patient subsequently underwent proton beam radiotherapy and is currently 82 months out from surgery with no evidence of recurrence.
ISSN:0317-1671
2057-0155
DOI:10.1017/S0317167100008428