Guo Peng, Sun Wei, Song Ling-Xie, Cao Wen-Yu, Li Jin-Ping
Department of Neurosurgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, China.
Department of Respiratory and Critical Care Medicine, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, China.
World J Radiol. 2024 Aug 28;16(8):348-355. doi: 10.4329/wjr.v16.i8.348.
The rare co-occurrence of oligodendroglioma and arteriovenous malformation (AVM) in the same intracranial location.
In a 61-year-old man presenting with progressive headaches, is described in this case study. Preoperative multimodal imaging techniques (computed tomography, magnetic resonance imaging, magnetic resonance spectroscopy, digital subtraction angiography, and computed tomography angiography) were employed to detect hemorrhage, cystic and solid lesions, and arteriovenous shunting in the right temporal lobe. The patient underwent right temporal craniotomy for lesion removal, and postoperative pathological analysis confirmed the presence of oligodendroglioma (World Health Organization grade II, not otherwise specified) and AVM.
The preoperative utilization of multimodal imaging examination can help clinicians reduce the likelihood of misdiagnosis or oversight of these conditions, and provides important information for subsequent treatment. This case supports the feasibility of craniotomy for the removal of glioma with AVM.
少突胶质细胞瘤与动静脉畸形(AVM)在同一颅内位置罕见同时出现。
本病例研究描述了一名61岁渐进性头痛男性患者。术前采用多模态成像技术(计算机断层扫描、磁共振成像、磁共振波谱、数字减影血管造影和计算机断层扫描血管造影)检测右侧颞叶的出血、囊性和实性病变以及动静脉分流。患者接受了右侧颞叶开颅手术以切除病变,术后病理分析证实存在少突胶质细胞瘤(世界卫生组织二级,未另作说明)和AVM。
术前使用多模态成像检查可帮助临床医生降低这些病症误诊或漏诊的可能性,并为后续治疗提供重要信息。该病例支持开颅手术切除合并AVM的胶质瘤的可行性。