偶然发现的视交叉海绵状血管瘤：3特斯拉磁共振成像上异常发现的病例报告
Incidental optochiasmatic cavernoma: Case report of an unusual finding on 3 Tesla MRI.
作者信息
Trentadue Mirko, Pozzi Mucelli Roberto, Piovan Enrico, Pizzini Francesca Benedetta
机构信息
Department of Radiology, G.B. Rossi Hospital, University of Verona, Italy
Department of Radiology, G.B. Rossi Hospital, University of Verona, Italy.
出版信息
Neuroradiol J. 2016 Aug;29(4):289-94. doi: 10.1177/1971400916648335. Epub 2016 May 4.
Abstract
Cavernoma is a vascular hamartoma, which represents 10-20% of all central nervous system vascular malformations. The majority (80%) of them are supratentorial, while involvement of the cranial nerves and the optic pathways is extremely rare. The main clinical presentation of optochiasmatic cavernomas consists of chiasmatic apoplexy, which is a neurosurgical emergency. Here, we report a case in which the finding was incidentally detected in a 49-year-old man. We describe the imaging characteristics of the lesion in such a rare location, highlighting the role of magnetic resonance imaging (MRI) (specifically 3 Tesla) in the management of asymptomatic patients.
摘要
海绵状血管瘤是一种血管错构瘤，占所有中枢神经系统血管畸形的10%-20%。其中大多数（80%）位于幕上，而累及颅神经和视路极为罕见。视交叉海绵状血管瘤的主要临床表现为交叉性卒中，这是一种神经外科急症。在此，我们报告一例在一名49岁男性中偶然发现该病变的病例。我们描述了在如此罕见部位的病变的影像学特征，强调了磁共振成像（MRI）（特别是3特斯拉）在无症状患者管理中的作用。
相似文献
1
Incidental optochiasmatic cavernoma: Case report of an unusual finding on 3 Tesla MRI.偶然发现的视交叉海绵状血管瘤：3特斯拉磁共振成像上异常发现的病例报告
Neuroradiol J. 2016 Aug;29(4):289-94. doi: 10.1177/1971400916648335. Epub 2016 May 4.
2
Complete resection of a cavernous haemangioma of the optic nerve, the chiasm, and the optic tract.视神经、视交叉和视束海绵状血管瘤的完整切除。
Acta Neurochir (Wien). 2007;149(7):699-703; discussion 703. doi: 10.1007/s00701-007-1163-8. Epub 2007 May 16.
3
Unusual etiology of bilateral acute visual impairment: Optochiasmatic cavernoma haemorrhage.双侧急性视力障碍的不常见病因：视交叉海绵状血管瘤出血。
Am J Emerg Med. 2019 Mar;37(3):564.e1-564.e4. doi: 10.1016/j.ajem.2018.12.024. Epub 2018 Dec 14.
4
Hypothalamic-Optochiasmatic Pilocytic Astrocytoma Associated with Occipital and Sacral Spinal Cavernomas: A Mere Coincidence or a True Association?下丘脑-视交叉毛细胞型星形细胞瘤伴枕部和骶部脊髓海绵状血管瘤：纯属巧合还是真有关联？
World Neurosurg. 2016 Jun;90:707.e17-707.e21. doi: 10.1016/j.wneu.2016.03.035. Epub 2016 Mar 19.
5
Minimally invasive treatment of cavernous angioma of the optic chiasm: case report.视交叉海绵状血管瘤的微创治疗：病例报告
Minim Invasive Neurosurg. 2001 Jun;44(2):114-6. doi: 10.1055/s-2001-16008.
6
Optochiasmatic Cavernomas: Updated systematic review and proposal of a novel classification with surgical approaches.视交叉周围海绵状血管畸形：更新的系统评价和一种新的分类方法及手术入路的建议。
Neurosurg Rev. 2024 Jan 19;47(1):53. doi: 10.1007/s10143-024-02288-1.
7
[Chiasmatic cavernoma].[视交叉海绵状血管瘤]
Zh Vopr Neirokhir Im N N Burdenko. 2005 Apr-Jun(2):20-1; discussion 21-2.
8
Surgery of cavernous hemangioma of the optic nerve: case report and review.视神经海绵状血管瘤手术：病例报告与文献复习
J Neurol Surg A Cent Eur Neurosurg. 2013 Jul;74(4):265-70. doi: 10.1055/s-0032-1304806. Epub 2012 Aug 1.
9
Endoscopic Endonasal Transsphenoidal Approach for the Removal of Optochiasmatic Cavernoma: Case Report and Literature Review.经鼻内镜经蝶窦入路切除视交叉海绵状血管瘤：病例报告及文献复习
World Neurosurg. 2017 Oct;106:1053.e11-1053.e14. doi: 10.1016/j.wneu.2017.07.026. Epub 2017 Jul 13.
10
Awake Microsurgical Resection for Optochiasmatic Cavernous Malformation.视交叉海绵状畸形的清醒显微手术切除
World Neurosurg. 2022 Jan;157:159. doi: 10.1016/j.wneu.2021.10.104. Epub 2021 Oct 21.
引用本文的文献
1
Optochiasmatic Cavernomas: Updated systematic review and proposal of a novel classification with surgical approaches.视交叉周围海绵状血管畸形：更新的系统评价和一种新的分类方法及手术入路的建议。
Neurosurg Rev. 2024 Jan 19;47(1):53. doi: 10.1007/s10143-024-02288-1.
2
Magnetic Resonance Imaging of Multiple Cerebral and Spinal Cavernous Malformations of a Patient with Dementia and Tetraparesis.一名患有痴呆和四肢瘫痪患者的多发性脑和脊髓海绵状畸形的磁共振成像
Diagnostics (Basel). 2022 Mar 10;12(3):677. doi: 10.3390/diagnostics12030677.
3
An isolated cavernous malformation of the sixth cranial nerve: A case report and review of literature.孤立性第六颅神经海绵状畸形：一例报告并文献复习。
Surg Neurol Int. 2021 Nov 16;12:563. doi: 10.25259/SNI_811_2021. eCollection 2021.
4
Postoperative Management of Anterior Visual Pathway Cavernoma, a Unique Perspective: Case Report.前视觉通路海绵状血管瘤的术后管理：独特视角病例报告
Cureus. 2019 Jan 3;11(1):e3819. doi: 10.7759/cureus.3819.
本文引用的文献
1
Neuroimaging of cerebral cavernous malformations.脑海绵状血管畸形的神经影像学
J Neurosurg Sci. 2015 Sep;59(3):221-35. Epub 2015 May 13.
2
Cavernous malformation of the optic chiasm: An uncommon location.视交叉海绵状血管畸形：一个不常见的部位。
Surg Neurol Int. 2015 Apr 16;6:60. doi: 10.4103/2152-7806.155256. eCollection 2015.
3
Cavernous malformations isolated from cranial nerves: Unexpected diagnosis?与颅神经分离的海绵状畸形：意外诊断？
Clin Neurol Neurosurg. 2014 Nov;126:162-8. doi: 10.1016/j.clineuro.2014.08.013. Epub 2014 Aug 29.
4
Cavernous malformations of the optic pathway and hypothalamus: analysis of 65 cases in the literature.视神经和下丘脑海绵状血管畸形：文献分析 65 例。
Neurosurg Focus. 2010 Sep;29(3):E17. doi: 10.3171/2010.5.FOCUS10129.
5
Optochiasmatic cavernous hemangioma.视交叉海绵状血管瘤
Br J Neurosurg. 2010 Jun;24(3):301-2. doi: 10.3109/02688691003780026.
6
Cavernous hemangioma of the optic chiasm: a surgical review.视交叉海绵状血管瘤：手术回顾
Skull Base. 2008 May;18(3):201-12. doi: 10.1055/s-2007-1023231.
7
Chiasmal cavernoma: a rare cause of acute visual loss improved by prompt surgery.
Pediatr Neurosurg. 2008;44(5):414-7. doi: 10.1159/000149911. Epub 2008 Aug 15.
8
Optochiasmatic cavernous angioma: unexpected diagnosis. Case report.视交叉海绵状血管瘤：意外诊断。病例报告。
Neurol Med Chir (Tokyo). 2007 Mar;47(3):128-31. doi: 10.2176/nmc.47.128.
9
Cavernous malformation of the optic chiasm: case report.视交叉海绵状血管畸形：病例报告
Br J Neurosurg. 2006 Oct;20(5):312-5. doi: 10.1080/02688690601000238.
10
Cavernous haemangiomas of the anterior visual pathways. Short review on occasion of an exceptional case.
Acta Neurochir (Wien). 2006 May;148(5):571-8; discussion 578. doi: 10.1007/s00701-006-0751-3. Epub 2006 Mar 2.
Zotero 插件