Umemura Takeru, Nishizawa Shigeru, Miyachi Hiroshi, Yamamoto Junkoh
Department of Neurosurgery, Kyushu Rosai Hospital, Moji Medical Center, Japan.
Department of Neurosurgery, School of Medicine, University of Occupational and Environmental Health, Japan.
J UOEH. 2020;42(2):217-222. doi: 10.7888/juoeh.42.217.
Cerebral cavernous angiomas are vascular anomalies with dilated spaces. We report the case of rare double cavernous angiomas causing higher brain dysfunction. A 74-year-old man exhibited cognitive dysfunction. Magnetic resonance imaging showed two tumors with hemorrhage in the left frontal lobe. Preoperative diagnosis was hemorrhage caused by cavernous angiomas. A 3D model of the double cavernous angioma was made to confirm their association with cortical veins and tumors. Tumors were removed using a single small corticotomy. This is the first report of a rare double cavernous angioma and the 3D printed model facilitated removal of the tumors.
脑海绵状血管瘤是一种具有扩张间隙的血管异常。我们报告了一例罕见的导致高级脑功能障碍的双海绵状血管瘤病例。一名74岁男性出现认知功能障碍。磁共振成像显示左额叶有两个伴有出血的肿瘤。术前诊断为海绵状血管瘤引起的出血。制作了双海绵状血管瘤的3D模型以确认它们与皮质静脉和肿瘤的关联。通过单次小的皮质切开术切除肿瘤。这是关于罕见双海绵状血管瘤的首例报告，3D打印模型有助于肿瘤的切除。
