Lucas Ribeiro , Clément Dunoyer , Aude Trinquet , Federico Cagnazzo , Julien Boetto , Marine Le Corre
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引用次数: 0
Abstract
Background
Adult intracranial capillary hemangioma (ICH) is an extremely rare disease with very few cases reported in the literature. Natural history is poorly understood and therapeutic management has not been clearly defined.
Methods
Using PRISMA guidelines, we systematically reviewed all published adult cases of ICH, to which we added our own case.
Case presentation
A 24-year-old patient with intracranial hypertension underwent stenting for left transverse sinus ICH. Recurrence was managed by subtotal resection, and radiotherapy was undertaken after a second relapse. Radiotherapy achieved complete response at last follow-up.
Results
Among cases of ICH found in the literature, 36 concerned adults (55.3%), with clear female predominance, and only 2 cases affecting the transverse sinus (8.1%). Adult ICHs grew over time, and pregnancy seemed to accelerate natural progression. Complete resection was achieved in most cases, and radiotherapy was used in case of relapse, with high rates of tumor control.
Conclusion
Transverse sinus ICH is uncommon, and venous stenting is a suitable option in case of tumor invasion to treat intracranial hypertension. Surgery is the gold-standard treatment, and radiotherapy is a very effective alternative, with high rates of tumor control. Natural history is not benign, particularly in case of pregnancy.
背景成人颅内毛细血管瘤（ICH）是一种极为罕见的疾病，文献中报道的病例极少。病例介绍 一位 24 岁的颅内高压患者因左侧横窦 ICH 接受了支架植入术。复发后进行了次全切除术，第二次复发后进行了放疗。结果在文献中发现的 ICH 病例中，36 例为成人（55.3%），女性明显占多数，只有 2 例影响横窦（8.1%）。成人 ICH 会随着时间的推移逐渐增大，而妊娠似乎会加速自然进展。结论：横窦 ICH 并不常见，在肿瘤侵犯的情况下，静脉支架植入术是治疗颅内高压的合适选择。手术是金标准治疗方法，放疗是非常有效的替代方法，肿瘤控制率高。自然病史并非良性，尤其是在妊娠的情况下。
期刊介绍：
Neurochirurgie publishes articles on treatment, teaching and research, neurosurgery training and the professional aspects of our discipline, and also the history and progress of neurosurgery. It focuses on pathologies of the head, spine and central and peripheral nervous systems and their vascularization. All aspects of the specialty are dealt with: trauma, tumor, degenerative disease, infection, vascular pathology, and radiosurgery, and pediatrics. Transversal studies are also welcome: neuroanatomy, neurophysiology, neurology, neuropediatrics, psychiatry, neuropsychology, physical medicine and neurologic rehabilitation, neuro-anesthesia, neurologic intensive care, neuroradiology, functional exploration, neuropathology, neuro-ophthalmology, otoneurology, maxillofacial surgery, neuro-endocrinology and spine surgery. Technical and methodological aspects are also taken onboard: diagnostic and therapeutic techniques, methods for assessing results, epidemiology, surgical, interventional and radiological techniques, simulations and pathophysiological hypotheses, and educational tools. The editorial board may refuse submissions that fail to meet the journal''s aims and scope; such studies will not be peer-reviewed, and the editor in chief will promptly inform the corresponding author, so as not to delay submission to a more suitable journal.
With a view to attracting an international audience of both readers and writers, Neurochirurgie especially welcomes articles in English, and gives priority to original studies. Other kinds of article - reviews, case reports, technical notes and meta-analyses - are equally published.
Every year, a special edition is dedicated to the topic selected by the French Society of Neurosurgery for its annual report.
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