Department of Neurosurgery, 401 General Military Hospital of Athens, Kanellopoulou & Mesogeion Avenue, 11527 Athens, Greece.
Department of Neurosurgery, 401 General Military Hospital of Athens, Kanellopoulou & Mesogeion Avenue, 11527 Athens, Greece.
Neurocirugia (Astur : Engl Ed). 2022 May-Jun;33(3):135-140. doi: 10.1016/j.neucie.2020.12.004.
Skull vault hemangiomas are benign vascular tumours of the calvaria that are usually asymptomatic or present as firm, painless lumps. We present a case of a 59-year-old female with a giant intraosseous calvarial hemangioma that was admitted in our department with a palpable mass over the left frontoparietal region, personality changes and impaired emotional and cognitive functions. The patient was treated with a two-step approach involving endovascular and surgical treatment, and suffered two rare, but recognized complications, a contrecoup intracerebral haemorrhage and valproate-induced stupor and parkinsonism. At the 6-month follow-up, the patient had complete recovery with a good neurological outcome.
颅骨穹窿部血管瘤是颅骨的良性血管肿瘤，通常无症状或表现为坚硬、无痛的肿块。我们报告一例 59 岁女性患者，患有巨大的颅骨内骨血管瘤，因左额顶区可触及肿块、人格改变和情感及认知功能受损而收入我科。该患者采用血管内和手术两步治疗方法，发生了两种罕见但已认识到的并发症，即对冲性颅内出血和丙戊酸诱导的昏迷和帕金森病。在 6 个月的随访中，患者完全恢复，神经功能良好。
