CASI CLINICI   

Chirurgia 2014 August;27(4):261-5

Copyright © 2014 EDIZIONI MINERVA MEDICA

lingua: Inglese

Unusual falcine lesion: case report and review of the literature

Safain M. ¹, Pfannl R. ², Kryzanski J. ¹

¹ Department of Neurosurgery, Tufts Medical Center, Boston, MA, USA; ² Department of Pathology & Laboratory Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA

Meningioma is the most commonly reported tumor arising from the falx cerebri. Management options for patients with a presumed falcine meningioma include watchful waiting with serial imaging, microsurgical resection, and stereotactic radiosurgery. Since several of these treatment options don’t include tissue diagnosis it is crucial for clinicians to be familiar with the radiographic differential diagnosis of a falcine lesion. We present a case of a 45 year-old woman with headaches and an enlarging falcine lesion. This lesion did not have the characteristic appearance of meningioma. Upon operative resection and pathological examination, the lesion was described as an angiomyxofibroma. This constitutes only the second intracranial angiomyxofibroma described. We also review the literature regarding the radiographic differential diagnosis of falcine lesions since a comprehensive review of the subject does not exist.