Cavernous Angiomas of the Skull

Kirchhoff, D; Hr, Eggert; Al, Agnoli

doi:10.1055/s-0028-1090322

Cited by 4 publications

(3 citation statements)

References 19 publications

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“…Usually, they are located in the vertebral column or in the skull. None were found in infants or very young children in the Mayo Clinic series, although, in a series of cavernous angiomas of the skull [Kirchhoff et al, 1978],28% had lesions at birth, but none had developmental anomalies of any kind. The significance of hemangiomatous bone in cloverleaf skulls remains unknown at present.…”

Section: Cloverleaf Skullsmentioning

confidence: 83%

Craniosynostosis update 1987

1988

Am. J. Med. Genet.

136

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Section: Cloverleaf Skullsmentioning

confidence: 83%

Craniosynostosis update 1987

1988

Am. J. Med. Genet.

136

View full text Add to dashboard Cite

“…13,14) Therefore, the percentage occupied by vascular lumens in the lesion is overwhelmingly large compared with tumors such as meningioma. This sinusoid structure is clearly visualized on angiography by direct puncture as emphasized by Kirchhoff et al 12) Therefore, sclerotherapy by direct puncture is the optimal method to deliver the The lesion was completely resected.…”

Section: Discussionmentioning

confidence: 91%

“…However, concerning venous anomalies arising from the cranium (originally termed as "cavernous hemangiomas"), there have been reports that they were fed by the middle meningeal and superficial temporal arteries 10,11) and that the lesion was contrasted on angiography in about half the patients. 12) Venous anomalies arising from the cranium may have different properties compared with those arising from other sites. In the present case, also, the venous anomaly is considered to have originated from the diploe and was fed by the middle meningeal and anterior deep temporal arteries.…”

Section: Discussionmentioning

confidence: 99%

A Case of Venous Anomaly of Diploic Origin Successfully Treated by Preoperative Direct Puncture Sclerotherapy

Hashimoto

Komuro

Isaka

2018

JNET

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Objective: One case of venous anomaly arising from the cranium in which intraoperative hemorrhage could be effectively controlled by direct puncture sclerotherapy using N-butyl-2-cyanoacrylate (NBCA) is reported.Case Presentation: A 76-year-old male noted gradually progressing right exophthalmos and swelling of the right temporal region and was found by imaging studies to have a space-occupying lesion extending inside and outside the cranium and in the orbit. On diagnostic biopsy of the extracranial part under local anesthesia, massive and spouting venous hemorrhage was observed. From intraoperative and pathological findings, a diagnosis of venous anomaly was made, and sclerotherapy was performed using NBCA under direct percutaneous puncture. After 4 days, the lesion could be resected totally with only slight bleeding. Conclusion:Sclerotherapy using NBCA by direct puncture is considered useful as a preoperative treatment for venous anomalies.Keywords▶ venous anomaly, N-butyl-2-cyanoacrylate, direct puncture, sclerotherapy Case PresentationThe patient was a 76-year-old male who complained of exophthalmos of the right eye and swelling of the right

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Intralesional Injection of Cyanoacrylate Adhesive by Percutaneous Direct Puncture for Removal of Intracranial Extraaxial Cavernous Hemangioma: Two-case Reports

Hashimoto

Isaka

Komuro

2019

Surg. Cereb. Stroke

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Objective: The current treatment of choice for cavernous hemangioma is surgical resection. However, devastating hemorrhages often make surgical removal difficult. We experienced two cases of intracranial extraaxial cavernous hemangioma totally resected after intralesional injection of n-butyl cyanoacrylate (NBCA).Case 1: A 76-year-old man presented with a right temporal skin prominence and right extreme exophthalmos. Computed tomography(CT) scan showed that a mass lesion had destroyed the temporal bone and extended to the subcutaneous, the intracranial, and the orbital space. We performed open biopsy to resect a small part of the subcutaneous lesion and encountered considerable bleeding.Pathological examination revealed a cavernous hemangioma. Transarterial embolization and then embolization by percutaneous direct puncture were performed. NBCA diluted with lipiodol widely spread through the lesion. After 4 days, surgery revealed that the lesion was completely embolized and did not bleed at all.Case 2: A 76-year-old woman presented with bitemporal hemianopsia. Dynamic gadolinium-enhanced magnetic resonance imaging (MRI) and blood pool scintigram revealed a cavernous hemangioma of the cavernous sinus. No tumor stain was detected by cerebral angiogram. We exposed the suprasellar part of the lesion by frontotemporal craniotomy and slowly injected NBCA diluted with lipiodol. Only the suprasellar part compressing the optic chiasm was removed without major bleeding, and the other part was only embolized.Conclusion: Embolization by percutaneous direct puncture is a safe and effective procedure for the treatment of skull base cavernous hemangioma.

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Cavernous Angiomas of the Skull

Cited by 4 publications

References 19 publications

Craniosynostosis update 1987

Craniosynostosis update 1987

A Case of Venous Anomaly of Diploic Origin Successfully Treated by Preoperative Direct Puncture Sclerotherapy

Intralesional Injection of Cyanoacrylate Adhesive by Percutaneous Direct Puncture for Removal of Intracranial Extraaxial Cavernous Hemangioma: Two-case Reports

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