Pleomorphic xanthoastrocytomas (PXAs) are rare primary central nervous system neoplasms of childhood and early adulthood. While PXAs are intimately associated with the leptomeninges, there has never been a description of an extradural-extracranial manifestation of PXA until now. We describe a case of PXA where the patient presented with a calvarial lesion. We also review the differential diagnoses of lytic skull lesions in addition to PXA.

1.
Kepes JJ, Rubinstein LJ, Eng LF: Pleomorphic xanthoastrocytoma: A distinctive meningocerebral glioma of young subjects with relatively favorable prognosis: A study of 12 cases. Cancer 1979;44:1839–1852.
2.
Petropoulou K, Whiteman ML, Altman NR, Bruce J, Morrison G: CT and MRI of pleomorphic xanthoastrocytoma: Unusual biologic behavior. J Comput Assist Tomogr 1995;19:860–865.
3.
Maleki M, Robitaille Y, Bertrand G: Atypical xanthoastrocytoma presenting as a meningioma. Surg Neurol 1983;20:235–238.
4.
Smith ME, Calcaterra TC: Frontal sinus osteoma. Ann Otol Rhinol Laryngol 1989;98:896–900.
5.
Shibata Y, Yoshii Y, Tsukada A, Nose T: Radiolucent osteoma of the skull: Case report. Neurosurgery 1991;29:776–778.
6.
Hook JR, Font RL, McCary JA, Harper RL: Intraosseous capillary hemangioma of the frontal bone. Am J Ophthalmol 1987;103:824–827.
7.
Thomas JE, Baker HL Jr: Assessment of roentgenographic lucencies of the skull: A systematic approach. Neurology 1975;25:99–106.
8.
Huvos AG: Bone Tumors: Diagnosis, Treatment, and Prognosis, ed 2. Philadelphia, Saunders, 1991.
9.
Vege DS, Borges AM, Aggrawal K, Balasubramaniam G, Parikh DM, Bhaser B: Osteosarcoma of the craniofacial bones: A clinico-pathological study. J Craniomaxillofac Surg 1991;19:90–93.
10.
Lee YY, Van Tassel P, Nauert C, Raymond AK, Edeiken J: Craniofacial osteosarcomas: Plain film, CT, and MR findings in 46 cases. AJR Am J Roentgenol 1988;150:1397–1402.
11.
Burger PC, Scheithauer BW, Vogel FS: Surgical Pathology of the Nervous System and its Coverings, ed 3. New York, Churchill Livingstone, 1991.
12.
Rubin G, Scienza R, Pasqualin A, Rosta L, Da Pian R: Craniocerebral epidermoids and dermoids. A review of 44 cases. Acta Neurochir (Wien) 1989;97:1–16.
13.
Vajtai I, Varga Z: Pleomorphic xanthoastrocytoma. Orv Hetil 1997;138:991–997.
14.
Davies KG, Maxwell RE, Seljeskog E, Sung JH: Pleomorphic xanthoastrocytoma – report of four cases, with MRI scan appearances and literature review. Br J Neurosurg 1994;8:681–689.
15.
Yoshino MT, Lucio R: Pleomorphic xanthoastrocytoma. AJNR Am J Neuroradiol 1992;13:1330–1332.
16.
Fouladi M, Jenkins J, Burger P, Langston J, Merchant T, Heideman R, Thompson S, Sanford A, Kun L, Gajjar A: Pleomorphic xanthoastrocytoma: Favorable outcome after complete surgical resection. Neuro-oncology 2001;3:184–192.
17.
Giannini C, Scheithauer BW, Burger PC, Brat DJ, Wollan PC, Lach B, O’Neill BP: Pleomorphic xanthoastrocytoma: What do we really know about it? Cancer 1999;85:2033–2045.
18.
Cervoni L, Salvati M, Santoro A, Celli P: Pleomorphic xanthoastrocytoma: Some observations. Neurosurg Rev 1996;19:13–16.
19.
Pai MR, Kini H, Raghuveer CV: Pleomorphic xanthoastrocytoma. Indian J Pathol Microbiol 1996;39:329–331.
20.
Thomas C, Golden B: Pleomorphic xanthoastrocytoma: Report of two cases and brief review of the literature. Clin Neuropathol 1993;12:97–101.
21.
Sundaram C, Naidu MR, Reddy JJ: Pleomorphic xanthoastrocytoma – a clinicopathological study. Indian J Pathol Microbiol 2000;43:357–361.
22.
Heyerdahl Strom E, Skullerud K: Pleomorphic xanthoastrocytoma: Report of 5 cases. Clin Neuropathol 1983;2:188–191.
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