Intracranial ewings sarccoma mimicking middle 1/3rd parasagittal meningioma
Abstract Background Ewing sarcoma is a malignant tumor arising in bone and soft tissue in children and young adults. Intracranial Ewing’s Sarcoma may be found as a result of metastasis from extracranial sites. Primary Ewing’s Sarcoma affecting the central nervous system (CNS) is rare, which is commo...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2025-02-01
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| Series: | Egyptian Journal of Neurosurgery |
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| Online Access: | https://doi.org/10.1186/s41984-025-00353-5 |
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| author | Sharad Pandey Pankaj Kumar Purnima Paliwal Achal Saxena Sumit Deshpande N. Monica |
| author_facet | Sharad Pandey Pankaj Kumar Purnima Paliwal Achal Saxena Sumit Deshpande N. Monica |
| author_sort | Sharad Pandey |
| collection | DOAJ |
| description | Abstract Background Ewing sarcoma is a malignant tumor arising in bone and soft tissue in children and young adults. Intracranial Ewing’s Sarcoma may be found as a result of metastasis from extracranial sites. Primary Ewing’s Sarcoma affecting the central nervous system (CNS) is rare, which is commonly intraparenchymal located either supratentorial or in the spinal cord. An extra-axial /Extradural presentation of ES is extremely rare. Case presentation 20-year-old female with intracranial Ewing’s sarcoma (ES) mimicking Right middle 1/3rd Parasagittal meningioma came with headache, Hemiparesis and urinary incontinence. The patient underwent craniotomy and Gross total resection of tumor. The postoperative imaging showed complete excision and underwent chemo-radiotherapy. This case highlights the diagnostic challenge that extra-axial/Dural Ewing’s sarcoma can pose for neurosurgeons as early diagnosis can prevent distant metastases. Conclusion Primary intracranial ES is a CNS primitive neuroectodermal tumor (PNET). Primary ES tumors can mimic intracranial meningiomas. Neurological symptoms are caused by large tumors with intracranial extension. Wide local excision is the treatment of choice. Chemotherapy has been shown to improve long-term survival rates and lower recurrence rates. Radiotherapy can be given as adjunct to improve survival rates. |
| format | Article |
| id | doaj-art-8f9af584961e4ae1a1610c1ab4c4988c |
| institution | Kabale University |
| issn | 2520-8225 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Egyptian Journal of Neurosurgery |
| spelling | doaj-art-8f9af584961e4ae1a1610c1ab4c4988c2025-02-09T12:25:27ZengSpringerOpenEgyptian Journal of Neurosurgery2520-82252025-02-014011410.1186/s41984-025-00353-5Intracranial ewings sarccoma mimicking middle 1/3rd parasagittal meningiomaSharad Pandey0Pankaj Kumar1Purnima Paliwal2Achal Saxena3Sumit Deshpande4N. Monica5Department of NeuroSurgery, Atal Bihari Vajpayee Institute of Medical Sciences and Dr Ram Manohar Lohia HospitalDepartment of NeuroSurgery, Atal Bihari Vajpayee Institute of Medical Sciences and Dr Ram Manohar Lohia HospitalDepartment of Pathology, Atal Bihari Vajpayee Institute of Medical Sciences and Dr Ram Manohar Lohia HospitalDepartment of NeuroSurgery, Atal Bihari Vajpayee Institute of Medical Sciences and Dr Ram Manohar Lohia HospitalDepartment of NeuroSurgery, Atal Bihari Vajpayee Institute of Medical Sciences and Dr Ram Manohar Lohia HospitalDepartment of NeuroSurgery, Atal Bihari Vajpayee Institute of Medical Sciences and Dr Ram Manohar Lohia HospitalAbstract Background Ewing sarcoma is a malignant tumor arising in bone and soft tissue in children and young adults. Intracranial Ewing’s Sarcoma may be found as a result of metastasis from extracranial sites. Primary Ewing’s Sarcoma affecting the central nervous system (CNS) is rare, which is commonly intraparenchymal located either supratentorial or in the spinal cord. An extra-axial /Extradural presentation of ES is extremely rare. Case presentation 20-year-old female with intracranial Ewing’s sarcoma (ES) mimicking Right middle 1/3rd Parasagittal meningioma came with headache, Hemiparesis and urinary incontinence. The patient underwent craniotomy and Gross total resection of tumor. The postoperative imaging showed complete excision and underwent chemo-radiotherapy. This case highlights the diagnostic challenge that extra-axial/Dural Ewing’s sarcoma can pose for neurosurgeons as early diagnosis can prevent distant metastases. Conclusion Primary intracranial ES is a CNS primitive neuroectodermal tumor (PNET). Primary ES tumors can mimic intracranial meningiomas. Neurological symptoms are caused by large tumors with intracranial extension. Wide local excision is the treatment of choice. Chemotherapy has been shown to improve long-term survival rates and lower recurrence rates. Radiotherapy can be given as adjunct to improve survival rates.https://doi.org/10.1186/s41984-025-00353-5Intracranial Ewing’s sarcomaPrimitive neuroectodermal tumor (PNET)Neurosurgery |
| spellingShingle | Sharad Pandey Pankaj Kumar Purnima Paliwal Achal Saxena Sumit Deshpande N. Monica Intracranial ewings sarccoma mimicking middle 1/3rd parasagittal meningioma Egyptian Journal of Neurosurgery Intracranial Ewing’s sarcoma Primitive neuroectodermal tumor (PNET) Neurosurgery |
| title | Intracranial ewings sarccoma mimicking middle 1/3rd parasagittal meningioma |
| title_full | Intracranial ewings sarccoma mimicking middle 1/3rd parasagittal meningioma |
| title_fullStr | Intracranial ewings sarccoma mimicking middle 1/3rd parasagittal meningioma |
| title_full_unstemmed | Intracranial ewings sarccoma mimicking middle 1/3rd parasagittal meningioma |
| title_short | Intracranial ewings sarccoma mimicking middle 1/3rd parasagittal meningioma |
| title_sort | intracranial ewings sarccoma mimicking middle 1 3rd parasagittal meningioma |
| topic | Intracranial Ewing’s sarcoma Primitive neuroectodermal tumor (PNET) Neurosurgery |
| url | https://doi.org/10.1186/s41984-025-00353-5 |
| work_keys_str_mv | AT sharadpandey intracranialewingssarccomamimickingmiddle13rdparasagittalmeningioma AT pankajkumar intracranialewingssarccomamimickingmiddle13rdparasagittalmeningioma AT purnimapaliwal intracranialewingssarccomamimickingmiddle13rdparasagittalmeningioma AT achalsaxena intracranialewingssarccomamimickingmiddle13rdparasagittalmeningioma AT sumitdeshpande intracranialewingssarccomamimickingmiddle13rdparasagittalmeningioma AT nmonica intracranialewingssarccomamimickingmiddle13rdparasagittalmeningioma |