Murakami Kensuke, Umezawa Kunihiko, Kaimori Mitsuomi, Nishijima Michiharu
Department of Neurosurgery, Aomori Prefectural Central Hospital, 2-2-1 Higahshi-tsukurimichi, Aomori, Japan.
J Clin Neurosci. 2004 May;11(4):430-2. doi: 10.1016/j.jocn.2003.05.010.
A 22-year-old man presented with tonic-clonic seizure and was admitted to our hospital. He had suffered from frequent headaches, and had been diagnosed with a brain tumour on MRI 13 years ago. However, neither further examination nor follow-up neuroimaging study have been performed. Computed tomography and magnetic resonance imaging demonstrated an intraaxial tumor with granular calcification in the right frontal lobe, attached to the adjacent dura mater, which was enlarged compared with the lesion on CT 13 years before. The lesion was surgically excised through right frontal craniotomy. Histopathological analysis indicated cavernous angioma. In cavernous angioma in younger children, more aggressive surgical indications than in adults may be favorable both to prevent haemorrhagic complications and to confirm pathologic diagnosis.
一名22岁男性因强直阵挛性发作入院。他曾频繁头痛，13年前MRI检查诊断为脑肿瘤。然而，此后既未进行进一步检查，也未进行后续神经影像学研究。计算机断层扫描和磁共振成像显示右额叶有一轴内肿瘤，伴有颗粒状钙化，与硬脑膜相邻，与13年前CT显示的病变相比有所增大。通过右额开颅手术将病变切除。组织病理学分析显示为海绵状血管瘤。对于年幼儿童的海绵状血管瘤，比成人更积极的手术指征可能有利于预防出血并发症和确诊病理诊断。
