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Low-Grade Astrocytoma Causing Dural and Calvarial Destruction
Most of the literature on intra-axial lesions causing calvarial and dural destruction comes from case reports for glioblastoma, lymphoma, metastasis, and aggressive meningioma. Destruction of dura and calvaria by low-grade gliomas is extremely uncommon; cases reported so far have been mostly oligode...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Thieme Medical and Scientific Publishers Pvt. Ltd.
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10089756/ https://www.ncbi.nlm.nih.gov/pubmed/37056894 http://dx.doi.org/10.1055/s-0043-1764325 |
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author | Belfquih, Hatim Slioui, Badr Azami, Mohamed Amine Akhaddar, Ali |
author_facet | Belfquih, Hatim Slioui, Badr Azami, Mohamed Amine Akhaddar, Ali |
author_sort | Belfquih, Hatim |
collection | PubMed |
description | Most of the literature on intra-axial lesions causing calvarial and dural destruction comes from case reports for glioblastoma, lymphoma, metastasis, and aggressive meningioma. Destruction of dura and calvaria by low-grade gliomas is extremely uncommon; cases reported so far have been mostly oligodendrogliomas. This article describes the unusual case of a 23-year-old male patient with a left-sided intra and extracranial tumor involving the frontal lobe, destroying the overlying dura and calvaria, who underwent maximal safe resection. Histopathology showed the tumor to be a low-grade astrocytoma. The calvarial thinning or remodeling caused by low-grade gliomas is thought to result from their chronic mass effect, by displacing the overlying layer of cerebrospinal fluid and transmitting brain pulsations directly to the inner table of the skull. Pressure thinning of the inner table of the skull may be caused by Pacchionian granulations close to the midline. Although this is extremely uncommon, magnetic resonance imaging may include low-grade astrocytoma in the differential diagnosis in such cases. |
format | Online Article Text |
id | pubmed-10089756 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
record_format | MEDLINE/PubMed |
spelling | pubmed-100897562023-04-12 Low-Grade Astrocytoma Causing Dural and Calvarial Destruction Belfquih, Hatim Slioui, Badr Azami, Mohamed Amine Akhaddar, Ali Asian J Neurosurg Most of the literature on intra-axial lesions causing calvarial and dural destruction comes from case reports for glioblastoma, lymphoma, metastasis, and aggressive meningioma. Destruction of dura and calvaria by low-grade gliomas is extremely uncommon; cases reported so far have been mostly oligodendrogliomas. This article describes the unusual case of a 23-year-old male patient with a left-sided intra and extracranial tumor involving the frontal lobe, destroying the overlying dura and calvaria, who underwent maximal safe resection. Histopathology showed the tumor to be a low-grade astrocytoma. The calvarial thinning or remodeling caused by low-grade gliomas is thought to result from their chronic mass effect, by displacing the overlying layer of cerebrospinal fluid and transmitting brain pulsations directly to the inner table of the skull. Pressure thinning of the inner table of the skull may be caused by Pacchionian granulations close to the midline. Although this is extremely uncommon, magnetic resonance imaging may include low-grade astrocytoma in the differential diagnosis in such cases. Thieme Medical and Scientific Publishers Pvt. Ltd. 2023-03-31 /pmc/articles/PMC10089756/ /pubmed/37056894 http://dx.doi.org/10.1055/s-0043-1764325 Text en Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited. |
spellingShingle | Belfquih, Hatim Slioui, Badr Azami, Mohamed Amine Akhaddar, Ali Low-Grade Astrocytoma Causing Dural and Calvarial Destruction |
title | Low-Grade Astrocytoma Causing Dural and Calvarial Destruction |
title_full | Low-Grade Astrocytoma Causing Dural and Calvarial Destruction |
title_fullStr | Low-Grade Astrocytoma Causing Dural and Calvarial Destruction |
title_full_unstemmed | Low-Grade Astrocytoma Causing Dural and Calvarial Destruction |
title_short | Low-Grade Astrocytoma Causing Dural and Calvarial Destruction |
title_sort | low-grade astrocytoma causing dural and calvarial destruction |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10089756/ https://www.ncbi.nlm.nih.gov/pubmed/37056894 http://dx.doi.org/10.1055/s-0043-1764325 |
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