Spindle cell Haemangioendothelioma, A rare Vascular Tumour with Presentation as Intraparenchymal Haemorrhage, A Case Report

Abstract

Spindle cell hemangioendothelioma is a rare vascular tumor featured by a histologic manifestation intermediate
between benign hemangioma and malignant angiosarcoma. A 45 year old female patient presented with loss of
consciousness and left sided weakness with CT brain suggestive of hematoma in right gangliocapsular region. A
computed tomography angiography brain revealed asuspected aneurysm in right internal carotid artery in clinoid
segment. Right pterional craniotomy was done with removal of vascular tumoralongwith hematoma which was
adhered to right internal carotid artery and clinoid process. The histopathologic report was suggestive of spindle
cell hemangioendothelioma of the brain. It is hoped that our report will contribute further understanding of the
neuropathology and natural history of this unusual tumor.