Department of Neurosurgery, Yeditepe University Kosuyolu Hospital, Yeditepe University School of Medicine, Koşuyolu Mahallesi, Koşuyolu Cad. No: 168, 34718, Kadıköy/İstanbul, Turkey.
Department of Pathology, Yeditepe University School of Medicine, İstanbul, Turkey.
Neurosurg Rev. 2021 Apr;44(2):679-686. doi: 10.1007/s10143-020-01291-6. Epub 2020 Mar 30.
Leiomyomas, benign tumors of well-differentiated smooth muscle and vascular collagenous tissue, usually occur in the uterus but can develop wherever smooth muscle is present. Primary intracranial leiomyomas are rare tumors. We present the case of a 40-year-old woman with a primary intraventricular leiomyoma. She consulted us for headache, dizziness, and black spots in her vision. Magnetic resonance images (MRI) disclosed a mass rooted in the posterior septum pellucidum. The tumor was totally excised by the senior author with no residual seen on intraoperative MRI. Pathological examination showed it to be a benign spindle-cell neoplasm. On the 6th month control MRI, there was no recurrence. We also reviewed articles relevant to primary intracranial leiomyomas.
平滑肌瘤是由分化良好的平滑肌和血管胶原组织组成的良性肿瘤，通常发生在子宫内，但也可以在任何有平滑肌存在的地方发生。原发性颅内平滑肌瘤是罕见的肿瘤。我们报告了一例 40 岁女性的原发性脑室平滑肌瘤。她因头痛、头晕和视力出现黑斑而就诊。磁共振成像（MRI）显示一个起源于透明隔后段的肿块。高级作者通过手术完全切除了肿瘤，术中 MRI 未见残留。病理检查显示为良性梭形细胞肿瘤。在第 6 个月的对照 MRI 上，没有复发。我们还回顾了与原发性颅内平滑肌瘤相关的文章。
