Neonatal Cavernous Hemangioma of the Dura Mater: Case Report

Saldaña, Cristóbal; Zimman, Horacio; Alonso, Pedro Luis Cano; Mata, Pedro

doi:10.1227/00006123-199110000-00021

Cited by 21 publications

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…They are attached to the inner surface of the dura and separate cleanly from the underlying brain. 21,38,44 Cavernous malformations arising in the cavernous sinus are not so straightforward. Patients with these highly vascular lesions had a perioperative mortality rate of 38% prior to 1984.…”

Section: Treatment Optionsmentioning

confidence: 99%

“…Other reported sites of origin include the subarachnoid space," the tentorium,26,29,38 the convexity dura,13,21,33,44,45,53 the cerebellopontine angle," Meckel's cave,' and other cranial nerves.v-" Dural CMs found outside the middle fossa have no gender predilection." Erosion of adjacent bone is often found with all these lesions, and they are histologically similar to intraparenchymal malformations.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Giant intracranial and extracranial cavernous malformation

Voelker¹,

Stewart²,

Schochet³

1998

Journal of Neurosurgery

View full text Add to dashboard Cite

Massive enlargement of an extracerebral cavernous malformation and extension across tissue planes is very uncommon. The authors present the case of a 49-year-old woman with a giant cavernous malformation in the left frontotemporal area. It progressively enlarged during several decades, extended through the calvaria to the extradural space, and was surgically treated. The lesion may have originated in the soft tissue or the skull. The locations of cavernous malformations in various parts of the body are reviewed and their mechanisms of growth are discussed. Surgical excision is the treatment of choice.

show abstract

Section: Treatment Optionsmentioning

confidence: 99%

mentioning

confidence: 99%

Giant intracranial and extracranial cavernous malformation

Voelker¹,

Stewart²,

Schochet³

1998

Journal of Neurosurgery

View full text Add to dashboard Cite

show abstract

“…3 Since the time of that review in 1986, extra-axial cavernous hemangiomas have been reported in the cavernous sinus, 12 " 15 the CP angle, 16 tentorium, 17 Meckel's cave, 18 cauda equina, 19 cranial nerves, 20 anterior cranial fossa, 21 and as a congenital convexity lesion in a neonate. 22 The overall distribution is therefore remarkably similar to meningiomas in general, 23 with over-representation of the cavernous sinus lesions, possibly suggesting a predisposition for that site. 1324 Other similar clinical features include both female preponderance and enlargement during pregnancy.…”

Section: Locationmentioning

confidence: 74%

Dural Cavernous Hemangioma: An Under-recognized Lesion Mimicking Meningioma

Perry

Tucker

Chui

et al. 1993

Can. j. neurol. sci.

View full text Add to dashboard Cite

We report a 77-year-old woman who presented with partial seizures and was found to have an enhancing dural-based parietal convexity mass. The lesion enlarged on serial examination by computed tomography (CT) over a one year period. The clinical features and radiologic appearance were compatible with a pre-operative diagnosis of meningioma; however, pathologic findings were typical of a dural cavernous hemangioma. Accumulating evidence suggests that these lesions are an uncommon but distinct type of vascular malformation most often arising from the cavernous sinus, tentorium, or cerebello-pontine angle. With CT, magnetic resonance imaging and angiography, these lesions can closely resemble meningioma in terms of signal characteristics, enhancement pattern, and location. This is of importance both in the practical management of meningiomas where the diagnosis is often based on radiologic studies alone, and in clinical trials where incorrect entry diagnosis should be avoided. RESUME: Malformation caverneuse d'origine durale: une entite peu reconnue. Nous rapportons le cas d'une femme de 77 ans qui a presente des crises d'epilepsie partielle, chez qui on a decouvert une masse rehaussante d'origine durale a la convexite parietale. La lesion a augmente de volume sur une periode d'un an, tel que demontre par des examens series par CT scan. Les manifestations cliniques et les images radiologiques etaient compatibles avec le diagnostic pre-operatoire de meningiome; cependant, l'anatomopathologie fut typique d'un hemangiome caverneux dural. Nous avons de plus en plus d'evidence que ces lesions constituent un type peu frequent mais distinct de malformation vasculaire, prenant naissance le plus souvent a partir du sinus caverneux, de la tente du cervelet ou de Tangle pontocerebelleux. Au CT scan, a la resonance magnetique et a l'angiographie, ces lesions peuvent ressembler au meningiome quant aux caracteristiques du signal, a l'aspect du rehaussement et a la localisation. Ceci est important, tant pour le conduite du traitement des meningiomes, ou le diagnostic est souvent base seulement sur les etudes radiologiques, que pour les essais therapeutiques ou on doit eviter d'inclure un individu dont le diagnostic est errone.

show abstract

“…However, there have been reports of a female predominance in extra-axial CAs [ 11 ]. In addition, CAs in newborns are rare, but there have been some reported cases diagnosed with prenatal ultrasound evaluation [ 12 , 13 , 14 ]. Gross et al have reported that intracranial cavernous malformations are located in the supra-tentorial hemisphere (lobar) (66%), brainstem (18%), basal ganglia, thalamus, corpus callosum, or insula (deep supra-tentorial) (9%), and cerebellum (6%) [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Extra-Axial Cavernous Angioma: A Case Report and Review of the Literature

Hassanzadeh,

Gao,

Alvarado

et al. 2024

Neurology International

View full text Add to dashboard Cite

Cavernous angiomas (CAs) are benign vascular malformations predominantly seen in the brain parenchyma and therefore referred to as intra-axial. Extra-axial dural-based cavernous angiomas, on the other hand, are rare vascular lesions found outside of the brain parenchyma. They occur in the middle fossa and may be easily misdiagnosed as meningiomas due to their extra-axial location. In addition, CAs that are located outside the middle fossa, such as in the convexity, have a better prognosis since they are more surgically accessible. Surgical resection is the main treatment of choice in CAs. However, other options, such as embolization and radiotherapy, may also be considered therapeutic choices or additive treatment options. The pathogenesis of CA and the involvement of other factors (genetics or environmental factors) are still unknown and require further investigation. We are presenting a young man who presented for evaluation of seizure-like events without any family history of neurologic conditions. The physical examination was unremarkable except for a slightly antalgic gait. Imaging studies showed an extra-axial left tentorial mass suggestive of a meningioma, hemangiopericytoma, or other extra-axial lesions. The lesion was resected where its vascular nature was mentioned initially, and the histology proved the diagnosis of cavernous angioma. Here we give an overview of the known pathogenesis, causes, clinical features, and diagnostic and therapeutic options in CA. Better knowledge about CA, its causes, clinical features, and treatment options would help clinicians in early diagnosis and patient management.

show abstract

Neonatal Cavernous Hemangioma of the Dura Mater: Case Report

Cited by 21 publications

References 0 publications

Giant intracranial and extracranial cavernous malformation

Giant intracranial and extracranial cavernous malformation

Dural Cavernous Hemangioma: An Under-recognized Lesion Mimicking Meningioma

Extra-Axial Cavernous Angioma: A Case Report and Review of the Literature

Contact Info

Product

Resources

About