Boschi Andrea, Consoli Arturo, Buccoliero Annamaria, Barbagli Giovanni, Mangiafico Salvatore, Ammannati Franco
Department of Neurosurgery, Careggi University Hospital, Florence, Italy.
Interventional Neuoradiology Unit, Careggi University Hospital, Florence, Italy.
Asian J Neurosurg. 2018 Oct-Dec;13(4):1233-1235. doi: 10.4103/ajns.AJNS_124_17.
Cerebral cavernous angiomas are vascular malformations characterized by large adjacent vessels. Usually, these lesions are smaller than 3 cm, the mean age at presentation occurs between 20 and 40 years, and the neuroradiological findings are well described, especially for magnetic resonance imaging, where the "popcorn balls" appearance is due to the presence of locules containing blood. Among these, the giant cavernous angiomas are very rare, particularly in adults. We collected clinical and neuroradiological data from clinical file and hospital diagnostic archive. A comprehensive review of similar cases was performed. We describe the clinical, diagnostic, and surgical management of a giant cerebral cavernous angioma located in the left deep frontal lobe mimicking a high-grade glioma in an adult Chinese patient. Giant cerebral cavernous angioma may be misdiagnosed and should be considered as differential diagnosis.
脑海绵状血管瘤是一种以相邻大血管为特征的血管畸形。通常,这些病变小于3厘米,出现症状的平均年龄在20至40岁之间,神经放射学表现已有详细描述,尤其是磁共振成像,其“爆米花球”外观是由于存在含血的小腔。其中,巨大海绵状血管瘤非常罕见,尤其是在成年人中。我们从临床病历和医院诊断档案中收集了临床和神经放射学数据。对类似病例进行了全面回顾。我们描述了一名成年中国患者左额叶深部巨大脑海绵状血管瘤的临床、诊断和手术治疗,该血管瘤酷似高级别胶质瘤。巨大脑海绵状血管瘤可能会被误诊,应作为鉴别诊断予以考虑。