{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T22:24:08Z","timestamp":1787178248551,"version":"build-2736575974"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Childs Nerv Syst"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>An 18-year-old Hispanic male with an unremarkable medical history presented with a 1-month history of progressive, intermittent headaches, nausea, and diplopia. Upon seeking care, a head CT revealed a solid right frontal lesion and a large, complex cystic parieto-occipital lesion exerting significant mass effect on surrounding structures. The patient initially underwent a left parietal craniotomy for tumor resection, followed by resolution of his neurological symptoms. However, surveillance imaging 1 month later identified a known left atrial cardiac mass and new intracranial embolic infarcts, alongside a 6-cm recurrence at the primary resection site. The patient subsequently underwent a sternotomy for resection of the primary cardiac sarcoma and reconstruction of the left atrium. Shortly after, a second craniotomy was required for resection due to rapid cystic recurrence of the brain metastasis causing midline shift and new focal neurological deficits. Following successful gross-total re-resection, the patient underwent hypofractionated Gamma Knife radiosurgery. He is also undergoing chemotherapy. Six-week follow-up imaging confirmed a positive response to treatments, showing no new metastatic growth and a reduction in the size of existing lesions. This case highlights the aggressive nature of primary cardiac sarcoma and the necessity of multimodal, repeat surgical intervention for CNS involvement.<\/jats:p>","DOI":"10.1007\/s00381-026-07434-2","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T21:28:01Z","timestamp":1787174881000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A rare case of primary cardiac sarcoma with both intracranial metastasis and embolic infarction in a pediatric patient"],"prefix":"10.1007","volume":"42","author":[{"given":"Mason T.","family":"Stoltzfus","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinpyo","family":"Hong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thaddeus","family":"Harbaugh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Sherman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khoa D.","family":"Pham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"McDowell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,19]]},"reference":[{"key":"7434_CR1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.120.016032","volume":"9","author":"R Gupta","year":"2020","unstructured":"Gupta R, Meghrajani V, Desai R, Gupta N (2020) Primary malignant cardiac tumors: a rare disease with an adventurous journey. 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