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Falcotentorial plasmacytoma: a case report
Jacob P Alappatt1, Dominic Anto, A Ajayakumar
1Department of Neurosurgery, Medical College, Calicut 673 008, Kerala, India.
Surgical Neurology
|July 21, 2004
Summary
A rare falcotentorial plasmacytoma in a 45-year-old woman, presenting with headache and papilledema, was successfully treated with surgical removal and radiotherapy. This case highlights a unique presentation of this uncommon dural tumor.
Area of Science:
- Neuro-oncology
- Neurosurgery
- Pathology
Background:
- Plasmacytomas are rare plasma cell tumors that can occur in the central nervous system.
- Falcotentorial plasmacytomas, involving both the falx cerebri and tentorium cerebelli, are exceptionally rare dural neoplasms.
Observation:
- A 45-year-old female presented with symptoms of increased intracranial pressure, including headache and papilledema.
- Diagnostic investigations confirmed the presence of a falcotentorial plasmacytoma.
Findings:
- Surgical resection of the falcotentorial plasmacytoma was performed.
- Adjuvant radiotherapy was administered post-operatively, leading to a curative outcome.
- This represents one of only three reported cases of simultaneous falx and tentorium involvement by plasmacytoma.
Implications:
- This case report contributes to the limited literature on falcotentorial plasmacytomas, emphasizing their rarity and potential for curative treatment.
- Accurate diagnosis is crucial, with en plaque meningioma being a key differential diagnosis to consider.
- Successful management involves a multimodal approach combining surgery and radiotherapy.