Dural Cavernous Angioma Causing Acute Subdural Hemorrhage —Case Report—

Suzuki, Kensuke; Kamezaki, Takao; Tsuboi, Koji; Kobayashi, Eiki

doi:10.2176/nmc.36.580

Cited by 27 publications

(17 citation statements)

References 16 publications

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“…[151825] Extra-axial CMs are also stable, except for two cases that showed slow growth over a period of 2 years. [1523] The diameter of the lesion in our case increased by 3 times within 3 months, suggesting that our case was the most aggressive extra-axial CM reported thus far. Our case, and the two cases described above, showed no evidence of hemorrhage on radiological examinations.…”

Section: Discussionmentioning

confidence: 51%

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Progressive tentorial cavernous malformation

Furuta

Nakada²,

Watanabe³

et al. 2012

Surg Neurol Int

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Background:Because extra-axial cavernous malformations (CMs) are rare, the common clinical course remains unclear. We report the case of a patient with progressive CM originating from the cerebellar tentorium.Case Description:A 64-year-old woman was admitted to our hospital with the complaint of diplopia. Magnetic resonance (MR) imaging revealed a lesion attached to the left cerebellar tentorium, close to the cerebral peduncle. This well-demarcated lesion rapidly enlarged for 3 months and eroded into the midbrain. Cerebral angiography showed a branch of the middle meningeal artery supplying the lesion and pooling of the contrast medium in the venous phase. A dark reddish and mulberry-like mass of the tentorium was observed intraoperatively, allowing the diagnosis of a tentorial CM. The feeding artery was identified in the tentorium and was coagulated. Postoperative MR imaging showed remarkable mass reduction and central necrosis of the lesion. However, the lesion recurred in 3 months; consequently, gamma knife radiosurgery was performed. After an additional 2 months, the lesion shrank in response to the radiosurgery.Conclusions:We report an extremely rare case of tentorial CM which showed rapid growth in a short period. Coagulation of the feeding artery was not sufficient to control the lesion. Gamma knife radiosurgery may prove highly effective for recurrent lesions.

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Section: Discussionmentioning

confidence: 51%

“…[5] Thus far, only 8 cases of tentorial CM have been reported. [19] Generally, CM is a stable or slow-growing mass that develops over a long period,[1523] although the natural course of CM is not yet well described. Here, we present the case of a patient with tentorial CM that rapidly enlarged in 3 months.…”

Section: Introductionmentioning

confidence: 99%

Progressive tentorial cavernous malformation

Furuta

Nakada²,

Watanabe³

et al. 2012

Surg Neurol Int

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“…The main causes involve aneurysmal rupture,[367891011121314151617181920212223242526272829303132333435363738394041424344] rupture of perisylvian cortical arteries[4546474849505152535455] and tumors and neoplastic diseases. [565758596061626364656667] Some other rare causes include moyamoya disease,[6869] arachnoid cyst,[70] dural cavernous angioma,[71] dural arteriovenous fistula,[72] myelodysplastic/myeloproliferative disorder[73] and polycythemia vera. [74] The most common cause of spontaneous ASDH was aneurysmal rupture (135 cases about 75.8% of cases).…”

Section: Discussion and Review Of Literaturementioning

confidence: 99%

“…[5657585960616263646566676869707172] Intracranial and metastatic extracranial tumors with involvement of dura matter can cause ASDH. These cases include metastatic seminoma,[56] meningioma,[5758] metastatic lung cancer,[5960] anaplastic astrocytoma of brain,[61] choriocarcinoma,[62] metastatic adenocarcinoma of prostate,[63] chronic myeloblastic leukemia,[64] malignant pleural mesothelioma,[65] metastatic dural carcinomatosis[66] and paranasal sinus cancer.…”

Section: Discussion and Review Of Literaturementioning

confidence: 99%

Acute Subdural Hematoma and Subarachnoid Hemorrhage Caused by Ruptured Cortical Artery Aneurysm: Case Report and Review of Literature

et al. 2017

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The present report describes an acute subdural hematoma (ASDH) associated with subarachnoid hemorrhage (SAH), due to ruptured cortical aneurysm. To our knowledge, extremely rare cases of this sort have been reported so far. A 23-year-old male patient without previous trauma presented with severe headache and rapidly decreasing level of consciousness to decerebrate status. Computed tomography (CT) scan has demonstrated an ASDH together with SAH. Hematoma has immediately been evacuated without any evaluation by angiography. After evacuation of the thick subdural clot, a 10-mm aneurysm was revealed on a precentral artery of frontal cortex, which was ligated. However, after 35 days the patient discharged with left side hemiparesis and dysphasia, and just after several months of admission he got symptom free. Ruptured cortical aneurysm should be considered as one of the causes of spontaneous ASDH. Vascular anomaly investigations are suggested for these cases, thus CT angiography or digital subtraction angiography has to be considered if clinical condition allows.

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“…These lesions have been encountered in the cerebellopontine angle, intraventricularly, in the pituitary fossa, optic chiasm, Vth and VIIth cranial nerves, and cavernous sinus, or were dural-based in association with dural sinuses. [8][9][10][11][12][13][14][15][16][17][18][19][20][21] In a review of 138 histopathologically documented CH, 13 were extra-axial in the middle fossa, four were in the cerebellopontine angle, and one was associated with the tentorium 3 . The clinical presentation of extra-axial CH is headache and oculovisual or other cranial nerve deficits.…”

Section: Discussionmentioning

confidence: 99%

Extra-Axial Cavernous Hemangioma: Two Case Reports

Kanaan¹,

Jallu²,

Al-Watban³

et al. 2001

Skull Base

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Two patients with extra-axial cavernous hemangioma who presented with headache and oculovisual disturbances were investigated with computed tomography and magnetic resonance imaging. The lesions masqueraded as basal meningioma, but this diagnosis was not supported by magnetic resonance spectroscopy in one patient. Cerebral angiography with embolization was indicated in one patient, but embolization was not justified in the other. Both patients underwent a pterional craniotomy. The lesions were extradural and highly vascular, necessitating excessive transfusion in one patient in whom gross total resection was achieved, and precluding satisfactory removal in the other. There was no mortality. Transient ophthalmoplegia, the only complication in one patient, was due to surgical manipulation of the cavernous sinus; it resolved progressively over 3 months. Extra-axial skull base cavernous hemangiomas are distinct entities with clinical and radiological characteristics that differ from those of intraparenchymal cavernous malformations. They can mimic meningiomas or pituitary tumors. In some cases, magnetic resonance spectroscopy may narrow the differential diagnoses. Surgical resection remains the treatment of choice, facilitated by preoperative embolization to reduce intraoperative bleeding and by the application of the principles of skull base surgery. Fractionated radiotherapy is an alternative in partial or difficult resections and in high-risk and elderly patients.

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Dural Cavernous Angioma Causing Acute Subdural Hemorrhage —Case Report—

Cited by 27 publications

References 16 publications

Progressive tentorial cavernous malformation

Progressive tentorial cavernous malformation

Acute Subdural Hematoma and Subarachnoid Hemorrhage Caused by Ruptured Cortical Artery Aneurysm: Case Report and Review of Literature

Extra-Axial Cavernous Hemangioma: Two Case Reports

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