Primary Intracranial Leiomyosarcoma with Intratumoral Hemorrhage: Case Report and Review of Literature

Primary intracranial leiomyosarcoma is a very rare occurrence, and primary leiomyosarcoma with intratumoral hemorrhage has not been described previously. We present a case of a rapidly enlarging primary intracranial leiomyosarcoma with intratumoral hemorrhage. A 41-year-old female presented with right hemiparesis and gait disturbance. She had a brain tumor on the frontal lobe that was growing rapidly. An intratumoral hemorrhage had occurred suddenly. We removed the tumor after hemorrhage. After the operation, postoperative chemotherapy and radiotherapy were not performed, but the tumor did not recur. To the best our knowledge, this is the first report of primary intracranial leiomyosarcoma with intratumoral hemorrhage. •This is the first documented case of a tumoral hemorrhage due to a primary intracranial leiomyosarcoma.•A 41-year-old woman with intratumoral hemorrhage of a primary intracranial leiomyosarcoma underwent gross total resection.•This is an important case report of a patient with an intracranial leiomyosarcoma with intratumoral hemorrhage.