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海绵窦海绵状血管瘤误诊为脑膜瘤:病例报告及 MRI 表现。

Cavernous hemangioma of the cavernous sinus misdiagnosed as a meningioma: a case report and MR imaging findings.

机构信息

Division of Neuroradiology, Department of Radiology, Istanbul University Cerrahpasa Medical School, 34303, Istanbul, Turkey.

出版信息

Clin Imaging. 2013 Jul-Aug;37(4):744-6. doi: 10.1016/j.clinimag.2013.01.018. Epub 2013 Mar 1.

Abstract

Cavernous hemangioma (CH) is a benign vascular malformation. Intracranial CH is generally localized as an intracranial-intraaxial and responsible for 5-13% of all intracranial vascular malformations. Intracranial-extraaxial CHs are rare rather than intracranial-intraaxial CHs. Clinical findings, imaging characteristics, and surgical approach of extraaxial CHs are rather different than intraaxial CHs. Diagnosing cavernous sinus CH preoperatively is very important, but its radiological differential diagnosis is quite difficult. In this study, we present magnetic resonance imaging findings of a 48-year-old male who was considered preoperatively to have meningioma but was diagnosed with cavernous sinus CH during surgery by pathological examination.

摘要

海绵状血管瘤(CH)是一种良性血管畸形。颅内 CH 通常定位于颅内-脑内,占所有颅内血管畸形的 5-13%。颅内-脑外 CH 比颅内-脑内 CH 罕见。脑外 CH 的临床表现、影像学特征和手术入路与脑内 CH 有很大不同。术前诊断海绵窦 CH 非常重要,但影像学鉴别诊断相当困难。本研究中,我们展示了一名 48 岁男性的磁共振成像表现,该患者术前被认为是脑膜瘤,但通过病理检查术中诊断为海绵窦 CH。

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