Palkopoulou Myrto, Bakola Eleni, Foliadi Marina, Stefanidis Petros, Acquaviva P Teresa
Department of Neurology.
Department of Neurosurgery, General Hospital of Elefsina Thriasio, Greece.
Clin Pract. 2020 Sep 21;10(3):1211. doi: 10.4081/cp.2020.1211. eCollection 2020 Sep 4.
The cerebral cavernous malformations are benign vascular hamartomas, with thin and dilated vascular walls and therefore constantly susceptible to hemorrhage. Clinically, they present with recurrent headaches, acute intracranial hemorrhage and focal neurological deficits. They are considered as and the imaging technique of choice for their diagnosis is magnetic resonance tomography. We present the case of a female patient with acute-onset symptomatology, congruent with a lesion in the basal pons. Her medical history included an intracranial hemorrhage due to a cavernoma, which was surgically removed. The magnetic resonance imaging of the brain revealed two new cavernomas, which were not identified in the imaging conducted in the past. In literature, the cases of de novo appearance of cavernomas are considered highly rare, especially in patients with no consistent family history or medical history of radiation therapy. Resultantly, they should be considered as dynamic lesions, regarding their number, size and behavior.
脑海绵状血管畸形是良性血管错构瘤，血管壁薄且扩张，因此极易出血。临床上，患者表现为反复头痛、急性颅内出血和局灶性神经功能缺损。它们被视为……，其诊断的首选成像技术是磁共振断层扫描。我们报告一例女性患者，其急性起病的症状与脑桥基底部的病变相符。她的病史包括因海绵状血管瘤导致的颅内出血，该血管瘤已通过手术切除。脑部磁共振成像显示有两个新的海绵状血管瘤，在过去的成像检查中未发现。在文献中，海绵状血管瘤新发的病例被认为极为罕见，尤其是在没有一致的家族病史或放射治疗病史的患者中。因此，就其数量、大小和行为而言，应将它们视为动态病变。
