颅内毛细血管瘤生长记录:病例报告。

IF 1.3 4区 医学 Q4 CLINICAL NEUROLOGY Neuropathology Pub Date : 2024-02-01 Epub Date: 2023-07-04 DOI:10.1111/neup.12933
Abigale D MacLellan, Alexander S Easton, Rufus Alubankudi, Gwynedd E Pickett
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引用次数: 0

摘要

成人颅内毛细血管瘤非常罕见,诊断也很困难。一般来说,血管瘤(尤其是皮肤血管瘤)多见于儿童。由于缺乏无症状期的影像学检查,文献很少提供有关这些异常肿瘤生长速度的线索。因此,我们报告了一例有莱姆病病史的 64 岁男性患者的病例。影像学检查显示,他的右颞叶后部有一个带有血管的轴内病变,这引起了胶质瘤的可能性。两年前的影像学检查显示,同一位置有一个非常小的病灶。患者接受了颅骨切除术,完成了病灶的全部切除,精神错乱的症状也随之缓解。活组织检查显示,这是一个毛细血管瘤,由内皮细胞和周细胞构成的小血管通道组成,没有平滑肌。没有发现胶质瘤、血管肿瘤或神经源性疾病(脑莱姆病)的特征。我们的病例记录了一名老年男性颅内毛细血管瘤生长两年多的罕见病例。
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Documented growth of an intracranial capillary hemangioma: A case report.

Intracranial capillary hemangiomas in adults are rare, and diagnosis can be challenging. Hemangiomas, in general (and particularly in the skin), are more often noted in the pediatric population. Due to the lack of imaging undertaken in the presymptomatic phase, the literature provides few clues on the rate of growth of these unusual tumors. Therefore, we report a case of a 64-year-old man with a medical history of Lyme disease who presented with exhaustion and confusion. Imaging demonstrated an intra-axial lesion with vascularity in the posterior right temporal lobe, raising the possibility of a glioma. Imaging two years prior revealed a very small lesion in the same location. The patient underwent a craniectomy, total resection of the lesion was completed, and his symptoms of confusion resolved. Biopsy revealed a capillary hemangioma composed of small vascular channels lined by endothelial cells and pericytes without smooth muscle. Features of glioma, vascular neoplasms or neuroborreliosis (cerebral Lyme disease) were not identified. Our case documents the growth over two years of a rare intracranial capillary hemangioma in an older adult male.

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来源期刊
Neuropathology
Neuropathology 医学-病理学
CiteScore
4.10
自引率
4.30%
发文量
105
审稿时长
6-12 weeks
期刊介绍: Neuropathology is an international journal sponsored by the Japanese Society of Neuropathology and publishes peer-reviewed original papers dealing with all aspects of human and experimental neuropathology and related fields of research. The Journal aims to promote the international exchange of results and encourages authors from all countries to submit papers in the following categories: Original Articles, Case Reports, Short Communications, Occasional Reviews, Editorials and Letters to the Editor. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.
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