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Related Experiment Video

Updated: May 5, 2026

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Intracranial primary synovial sarcoma: radiologic-pathologic correlation.

V K Katsaros1, A-A Katsarou, A Papadopoulou

  • 1Department of Neuroradiology, CT and MRI, IKA Oncology Hospital; Athens, Greece - bkatsaros@otenet.gr.

The Neuroradiology Journal
|November 22, 2013
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Summary
This summary is machine-generated.

This case study details a rare intracranial synovial sarcoma in a 15-year-old female. Surgical removal was successful, though it resulted in hypoglossal nerve palsy, highlighting the challenges of this rare tumor.

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Area of Science:

  • Neurosurgery
  • Oncology
  • Pathology

Background:

  • Synovial sarcoma is a rare soft tissue tumor typically found in extremities.
  • Intracranial synovial sarcoma is exceptionally rare, with limited documented cases.

Purpose of the Study:

  • To report a unique case of spontaneous intracranial synovial sarcoma.
  • To describe the diagnostic and surgical management of this rare condition.

Main Methods:

  • A 15-year-old female presented with neck pain and a skull base mass.
  • Diagnostic imaging included MRI, MR arteriography, MR venography, and CT.
  • Surgical resection was performed using a retrosigmoid, transmastoid, infratemporal approach.

Main Results:

  • A large skull base mass was identified, extending from the petrous to the occipital bone.
  • Imaging revealed calcifications and diminished venous flow.
  • Pathological examination confirmed a monophasic spindle-cell synovial sarcoma.
  • Postoperative hypoglossal nerve palsy occurred.

Conclusions:

  • Intracranial synovial sarcoma is a rare diagnosis requiring comprehensive imaging and surgical expertise.
  • Complete resection is the primary treatment, though functional deficits can occur.