松果体区海绵状血管瘤：一例报告。
Cavernoma in the pineal region: A case report.
作者信息
Neupane Nischal, Paudel Sujan, Luitel Prajjwol, Khadka Sagar, Thapa Bikas, Sedain Gopal
机构信息
Maharajgunj Medical College, Tribhuvan University, Institute of Medicine, Kathmandu, Nepal.
Maharajgunj Medical College, Tribhuvan University, Institute of Medicine, Kathmandu, Nepal.
出版信息
Int J Surg Case Rep. 2025 Jun;131:111381. doi: 10.1016/j.ijscr.2025.111381. Epub 2025 Apr 27.
INTRODUCTION
Pineal region cavernoma is a rare diagnosis comprising <1 % of all cerebral cavernous malformations with female preponderance. These vascular malformations are benign and curable compared to other lesions in the region.
CASE PRESENTATION
A 40-year female presented with bilateral temporal headache and multiple episodes of vomiting and was diagnosed as pineal cavernoma. She was managed effectively with a ventriculoperitoneal shunt for hydrocephalus.
DISCUSSION
MRI provides an effective and accurate diagnosis in cavernous lesions of pineal region. Pineal cavernoma has higher risk of rebleeding and can cause acute obstructive hydrocephalus. Treatment of hydrocephalus is necessary if the surgical treatment is not possible.
CONCLUSION
This case report highlights the importance of early diagnosis and an option for palliative approach of management of pineal cavernoma.
引言
松果体区海绵状血管瘤是一种罕见的诊断，占所有脑海绵状畸形的比例不到1%，女性更为多见。与该区域的其他病变相比，这些血管畸形是良性且可治愈的。
病例介绍
一名40岁女性出现双侧颞部头痛和多次呕吐，被诊断为松果体海绵状血管瘤。她通过脑室腹腔分流术有效治疗了脑积水。
讨论
MRI对松果体区海绵状病变能提供有效且准确的诊断。松果体海绵状血管瘤再出血风险较高，可导致急性梗阻性脑积水。若无法进行手术治疗，治疗脑积水是必要的。
结论
本病例报告强调了早期诊断的重要性以及松果体海绵状血管瘤姑息治疗方法的一种选择。
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