Gangemi M, Longatti P, Maiuri F, Cinalli G, Carteri A
Institute of Neurosurgery, 2nd School of Medicine, University of Naples, Italy.
Neurosurgery. 1989 Sep;25(3):465-8; discussion 468-9. doi: 10.1097/00006123-198909000-00026.
Two rare cases of cerebral cavernous angiomas in two infants, 9 and 6 months old, respectively, are reported and the other 11 cases in the literature concerning patients in the first year of life are reviewed. Cavernous angiomas of the brain occur rarely in the first year of life and present with seizures and head enlargement. On computed tomographic scan they typically appear as large, hyperdense, unenhanced masses, with large cysts and must be differentiated from tumors more common in infants, such as teratomas, ependymomas, and mixed tumors. Total removal is often possible, even with large lesions, because of the small amount of bleeding and the well-defined limits of the mass.
本文报告了两例分别为9个月和6个月大婴儿的罕见脑海绵状血管瘤病例，并回顾了文献中另外11例一岁以内患者的病例。脑海绵状血管瘤在生命的第一年很少见，表现为癫痫发作和头部增大。在计算机断层扫描上，它们通常表现为大的、高密度的、未强化的肿块，伴有大囊肿，必须与婴儿中更常见的肿瘤如畸胎瘤、室管膜瘤和混合瘤相鉴别。由于出血量少且肿块界限清晰，即使是大的病变也常常可以完全切除。
