Trigonal Cavernous Malformation Mimicking Intraventricular Tumor: A Case Report and Literature Review

Q Medicine Neurosurgery Quarterly Pub Date : 2016-02-01 DOI:10.1097/WNQ.0000000000000123
Tingzhong Wang, Jian Yu, Xianlin Zhao
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引用次数: 1

Abstract

Trigonal cavernous malformations (CMs) are very rare. This paper presents a case of trigonal CM mimicking intraventricular tumor symptomatically and radiologically. A 55-year-old female patient presented with headache. Magnetic resonance imaging revealed a trigonal mass in the right lateral ventricle, which was isointense on T1-weighted and hyperintense on T2-weighted imaging and showed heterogenous enhancement on contrast image. The lesion was completely excised using microsurgery with a transinferior parietal lobule approach. Histopathologic analysis confirmed the diagnosis of CM. The patient had excellent outcome. The review of the pertinent literature has revealed that trigonal CMs with atypical magnetic resonance imaging incongruent with any Zabramski type could be misdiagnosed as intraventricular tumors. Radical excision through transcortical approaches provide good outcome for patients with trigonal CMs.
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模拟脑室内肿瘤的三角海绵体畸形1例报告及文献复习
三角海绵体畸形(CMs)是非常罕见的。本文报告一例模拟脑室内肿瘤的三角形CM的症状和放射学。55岁女性患者,以头痛为主诉。磁共振示右侧侧脑室三角区肿块,t1加权等影,t2加权高影,对比成像呈非均匀强化。病变完全切除显微手术与经下顶叶入路。组织病理学分析证实了CM的诊断。患者预后良好。回顾相关文献发现,不符合任何Zabramski型的非典型磁共振成像的三角CMs可能被误诊为脑室内肿瘤。经皮质入路根治性切除对三角区CMs患者疗效良好。
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来源期刊
Neurosurgery Quarterly
Neurosurgery Quarterly 医学-神经科学
CiteScore
0.08
自引率
0.00%
发文量
0
审稿时长
6-12 weeks
期刊介绍: Neurosurgery Quarterly synthesizes the broad wealth of material on international developments in the diagnosis, management, and surgical treatment of neurological disorders. By encompassing viewpoints from worldwide sources, the journal provides information in greater depth than is usually found in the medical literature.
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