A case of recurrent gliosarcoma mimicking subdural hematoma

Ryan Khanna, Bledi Brahimaj, Konstantin Tchalukov, Kayla Byrne, Owoicho Adogwa, Miral Jhaveri, Richard Byrne

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

The authors present the case of a patient who after undergoing craniotomy for glioblastoma resection was found to have gliosarcoma recurrence in the subdural space without intraparenchymal recurrence. A 74-year old man originally presented with the first seizure of his life and was found to have a right temporal glioblastoma multiforme. He underwent craniotomy and adjuvant chemotherapy and radiation therapy. Five months later, he presented with what was to be presumed to be a right subdural hematoma found on surveillance imaging. After expanding on repeat imaging, the patient was electively taken for burr hole evacuation, however intraoperatively thickened membranes were encountered leading to craniotomy and resection of lesion with pathology consistent with gliosarcoma. What we describe is novel because not only was there rare subdural spread of previously resected glioblastoma observed, but also transformation to the more aggressive tumor of gliosarcoma. Thus, we add to the body of literature and evidence to the clinical consideration of glioma as a rare cause of non-traumatic subdural collection. Specifically in a population of patients who have already undergone glioma resections, work up of subdural collections should include contrasted MRI beyond CT. The treatment paradigm does not change in this presentation of glioma recurrence. Surgical decompression and resection to alleviate brain compression, followed by adjuvant chemotherapy and radiation.

Original languageEnglish (US)
Pages (from-to)3-6
Number of pages4
JournalInterdisciplinary Neurosurgery: Advanced Techniques and Case Management
Volume16
DOIs
StatePublished - Jun 2019
Externally publishedYes

Keywords

  • Collection
  • Extra-axial
  • Glioblastoma
  • Glioma
  • Gliosarcoma
  • Hematoma
  • Recurrence
  • Subdural

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Fingerprint Dive into the research topics of 'A case of recurrent gliosarcoma mimicking subdural hematoma'. Together they form a unique fingerprint.

  • Cite this