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酷似脑膜瘤的凸面硬脑膜海绵状畸形:病例报告及文献综述

Convexity Dura-Based Cerebral Cavernous Malformation Mimicking Meningioma: A Case Report and Literature Review.

作者信息

Abujarir Raed Hassan, Ayyad Ali, Sotouhy Ahmad, Bozom Essam, Shaaban Ahmed, Kubaissi Aisha Al

机构信息

Neurosurgery Unit, Hamad Medical Corporation, Doha, Qatar.

Department of Neuroradiology, Hamad Medical Corporation, Doha, Qatar.

出版信息

Asian J Neurosurg. 2022 Jul 15;17(1):120-126. doi: 10.1055/s-0042-1749109. eCollection 2022 Mar.

Abstract

Cavernous angioma, cavernoma, cavernous hemangioma, also called cerebral cavernous malformation (when present in the brain), are benign vascular malformations, usually intraparenchymal; however, a few reported cases are in the extra-axial location-as middle cranial fossa, near the cavernous sinuses, and in the cerebellopontine angle-and are rarely reported as dura-based convexity lesion resembling meningioma. We report a giant dura-based, convexity, a cerebral cavernous malformation. We wish to notify the case as occurring at a rare location and a large-sized cerebral cavernous malformation. A case of young female presented with a long-standing history of headache. Computed tomography scan and magnetic resonance imagings (MRIs) suggested right occipital dura-based large mass lesion of approximately 5 cm in diameter. The lesion was excised and pathology studies confirmed the diagnosis of a cerebral cavernous malformation. A follow-up MRI confirmed total resection of the lesion and the patient had a smooth postoperative recovery.

摘要

海绵状血管瘤,又称海绵状瘤、海绵状血管畸形(当位于脑内时称为脑海绵状畸形),是一种良性血管畸形,通常位于脑实质内;然而,有少数报道的病例位于轴外部位,如中颅窝、海绵窦附近以及桥小脑角,并且很少有报道称其为类似脑膜瘤的硬脑膜凸面病变。我们报告一例巨大的基于硬脑膜的凸面脑海绵状畸形。我们希望通报该病例发生在一个罕见的部位且为大型脑海绵状畸形。一名年轻女性病例,有长期头痛病史。计算机断层扫描和磁共振成像(MRI)显示右枕部基于硬脑膜的直径约5厘米的巨大肿块病变。该病变被切除,病理研究证实为脑海绵状畸形。随访MRI证实病变已完全切除,患者术后恢复顺利。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/609c/9298532/99801799a075/10-1055-s-0042-1749109-i28821-1.jpg

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