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Ruptured Tentorium Originating Masson Tumor
Haydar Sekmen1, Ihsan Doğan2, Orkhan Mammadkhanli3
1Department of Neurosurgery, Kocaeli Derince Education and Research Hospital, Kocaeli, Turkey.
Asian Journal of Neurosurgery
|July 2, 2021
Summary
Intravascular papillary endothelial hyperplasia (IPEH), a rare benign vascular tumor, can occur intracranially. This case highlights IPEH originating from the tentorium, emphasizing diagnostic challenges and surgical curability.
Area of Science:
- Neurology
- Pathology
- Vascular Biology
Background:
- Intravascular papillary endothelial hyperplasia (IPEH), or Masson's tumor, is a rare benign vascular lesion.
- Intracranial IPEH is exceptionally rare, with posterior fossa involvement being particularly uncommon.
- Preoperative diagnosis is challenging due to limited understanding of its radiological features.
Observation:
- This article presents a rare case of IPEH.
- The tumor originated from an unusual location: the tentorium.
- The case details clinical, radiological, perioperative, and pathological findings.
Findings:
- IPEH is a benign, slow-growing vascular tumor.
- Differential diagnosis must include angiosarcoma and meningioma.
- Complete surgical excision is curative for IPEH.
Implications:
- This case expands the understanding of IPEH locations and behavior.
- Highlights the importance of considering IPEH in intracranial differential diagnoses.
- Emphasizes the need for further research into rare intracranial vascular lesions.

