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海绵窦巨大海绵状血管瘤。

Giant cavernous haemangioma in cavernous sinus.

机构信息

UniAtenas University Center, Paracatu, Brazil.

Neurosurgery Department, Santa Casa of Passos, Passos, Brazil.

出版信息

Br J Neurosurg. 2024 Apr;38(2):534-535. doi: 10.1080/02688697.2020.1821868. Epub 2020 Sep 22.

Abstract

The aim of this article is show the neuroimaging, the pathological analysis and makes a brief review regarding to a giant cavernous haemangioma located in cavernous sinus in a 72 years old patient. A brief review was made in the literature searching for the key words "hemangioma" and "cavernous sinus" in the databases PubMed and Scielo for the last ten years. The images addressed were obtained by magnetic resonance imaging (MRI) in FLAIR, T1 and T1-weighted contrast-enhanced. The intracranial cavernous haemangiomas are rare conditions that comprise from 0,1 to 4% of intracranial vascular malformations. Diagnosis is made by MRI, when available SPECT (99mTc) is used to confirm and the treatment is done surgically with complement of radiotherapy and radiosurgery. The reported neuroimaging and pathological analysis show a giant cavernous hemangioma in cavernous sinus, a benign neoplasm involving the left internal carotid artery and maintaining contact with the contralateral internal carotid artery formed by abundant vascular structures, but without the presence of a muscular tunic.

摘要

本文旨在展示神经影像学、病理学分析,并对一位 72 岁患者的海绵窦巨大海绵状血管瘤进行简要回顾。在过去十年中,我们在 PubMed 和 Scielo 数据库中使用“hemangioma”和“cavernous sinus”等关键词进行文献检索。所提供的图像是通过磁共振成像(MRI)在 FLAIR、T1 和 T1 加权对比增强获得的。颅内海绵状血管瘤是一种罕见的疾病,占颅内血管畸形的 0.1%至 4%。MRI 可用于诊断,当有条件时,SPECT(99mTc)用于确认,治疗方法是手术切除,辅以放疗和放射外科治疗。所报道的神经影像学和病理学分析显示,海绵窦内存在巨大的海绵状血管瘤,这是一种良性肿瘤,累及左侧颈内动脉,并与由丰富的血管结构形成的对侧颈内动脉保持接触,但没有肌肉鞘的存在。

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