Watanabe M, Kubo N, Hakozaki S, Kuwata N, Monma N, Ogawa A
Department of Neurosurgery, Morioka Red Cross Hospital, 6-1-1 Sanbonyanagi, Morioka-city, Iwate 020-8560, Japan.
No Shinkei Geka. 2001 Nov;29(11):1049-54.
Capillary hemangiomas are the most common tumor of the neck and head in children. Intracranial capillary hemangioma without generalized neuro-cutaneous hemangiomatosis is extremely rare, with only one report in the literature. We report a case of intracranial capillary hemangioma originating from the temporal base. An 8-year-old boy presented with a severe headache and nausea. A CT scan showed a low-density area in the left temporal lobe and an iso-density mass at the temporal base. This mass was enhanced by contrast medium. The mass lesion appeared as an iso-intensity area on T1-weighted MR images and as a high-intensity area on T2-weighted MR images, and the mass was enhanced almost uniformly by gadoliniumdiethylene triaminepenta-acetic acid. Cerebral angiography showed abnormal staining fed by the anterior temporal artery. An operation was performed, and all of the tumor with the dura attached was removed. The histological diagnosis was capillary hemangioma. The tumor consisted of a proliferation of capillary vessels lined by a single layer of endothelial cells. In this paper, we review the clinical features, neuro-imaging findings and proposed etiology of capillary hemangioma.
毛细血管瘤是儿童头颈部最常见的肿瘤。不伴有全身性神经皮肤血管瘤病的颅内毛细血管瘤极为罕见,文献中仅有一例报道。我们报告一例起源于颞叶底部的颅内毛细血管瘤病例。一名8岁男孩出现严重头痛和恶心症状。CT扫描显示左侧颞叶有一低密度区,颞叶底部有一等密度肿块。该肿块在注射造影剂后增强。在T1加权磁共振图像上,肿块病变表现为等强度区,在T2加权磁共振图像上表现为高强度区,钆二乙烯三胺五乙酸几乎使肿块均匀增强。脑血管造影显示由颞前动脉供血的异常染色。进行了手术,完整切除了附着硬脑膜的所有肿瘤。组织学诊断为毛细血管瘤。肿瘤由单层内皮细胞衬里的毛细血管增生构成。本文回顾了毛细血管瘤的临床特征、神经影像学表现及可能的病因。