Homonymous Hemianopsia Due to a Dural Cavernous Hemangioma

Lee, A G; Parrish, Rob G.; Goodman, J. Clay

doi:10.1097/00041327-199812000-00005

Cited by 10 publications

(6 citation statements)

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“…Only three cases of EDH related to bleeding from a dural cavernous hemangioma are reported in the literature 17,24,44 and only 18 cases of dural cavernous hemangioma outside the middle cranial fossa have been reported so far, including six located at the convexity. 23,28,29,48 Similar to our patient, two of these six patients had a history of seizure. 29 Intraosseous hemangioma can also cause EDH, but our perusal of the literature only uncovered three such cases.…”

Section: Discussionsupporting

confidence: 76%

Spontaneous vertex extradural hematoma: considerations about causes

Dufour¹,

Métellus²,

Manera³

et al. 2001

Journal of Neurosurgery

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A 36-year-old woman with an uneventful medical history was admitted to the emergency department following an initial generalized seizure. Neuroimaging workup disclosed a homogeneous mass at the vertex, which first was diagnosed as vertex meningioma. Anticonvulsant drug therapy was administered and the patient was discharged. Two months later the patient was examined in our neurosurgery department for additional therapeutic recommendations. A repeated neuroimaging examination showed considerable regression of the lesion. The findings on magnetic resonance imaging were consistent with those of a regressing extradural hematoma (EDH). A complete blood-coagulation study displayed no evidence of abnormality. Thorough questioning of the patient revealed no history of pericranial infection or head trauma occurring within the last 2 years. The final diagnosis was spontaneously occurring vertex EDH. In this report the authors describe the clinical and neuroimaging features of the case as well as the management strategy, and discuss etiological aspects within the context of a careful review of the literature.

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Section: Discussionsupporting

confidence: 76%

Spontaneous vertex extradural hematoma: considerations about causes

Dufour¹,

Métellus²,

Manera³

et al. 2001

Journal of Neurosurgery

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“…As mentioned above, only 9 tentorial CAs have been reported in the literature, 1,14,16,17,19,20,26 6 cases in males and 3 in females (age range 0-60 years; Table 1). Common symptoms were headache due to increased intracranial pressure and visual field disturbances.…”

Section: Discussionmentioning

confidence: 97%

“…7,14,16,19,23 Among these were 3 cases showing hypervascularity; 7,14,19 patients in 2 of these cases were evaluated for intraoperative bleeding from tumors, and both experienced massive bleeding during surgery. 7,19 Thus, most tentorial CAs were hypervascular and had profuse intraoperative bleeding.…”

Section: Preoperative Endovascular Embolizationmentioning

confidence: 99%

Successful removal of a huge hypervascular tentorial cavernous angioma after preoperative endovascular embolization

Yoshimura¹,

Tsukamoto²,

Sano³

et al. 2014

PED

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The authors report a rare case of a huge hypervascular tentorial cavernous angioma treated with preoperative endovascular embolization, followed by successful gross-total removal. A 15-year-old girl presented with scintillation, diplopia, and papilledema. Computed tomography and MRI studies revealed a huge irregularly shaped tumor located in the right occipital and suboccipital regions. The tumor, which had both intra- and extradural components, showed marked enhancement and invasion of the overlying occipital bone. Angiography revealed marked tumor stain, with blood supply mainly from a large branch of the left posterior meningeal artery. Therefore, this lesion was diagnosed as a tentorium-based extraaxial tumor. For differential diagnosis, meningioma, hemangiopericytoma, and malignant skull tumor were considered. Tumor feeders were endovascularly embolized with particles of polyvinyl alcohol. On the following day, the tumor was safely gross totally removed with minimum blood loss. Histopathological examination confirmed the diagnosis of cavernous angioma. To date, there have been no reports of tentorium-based cavernous angiomas endovascularly embolized preoperatively. A tentorial cavernous angioma is most likely to show massive intraoperative bleeding. Therefore, preoperative embolization appears to be quite useful for safe maximum resection. Hence, the authors assert that the differential diagnosis of tentorium-based tumors should include tentorial cavernous angioma, for which preoperative endovascular embolization should be considered.

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“…There is few reported cavernoma presented as convexity dura-based location, mimicking meningioma; among the convexity-located group we found the parietal convexity is the common; [22][23][24][25] there are only two reported cases of occipital convexity. 32,33 In case of dura-based lesions that lack the other radiological feature of meningioma, like dura tail, and adjacent bone hyperostosis, other differential diagnosis should be considered rather than meningioma, like hemangiopericytoma, metastasis to dura, and even cavernoma.…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

Convexity Dura-Based Cerebral Cavernous Malformation Mimicking Meningioma: A Case Report and Literature Review

et al. 2022

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Cavernous angioma, cavernoma, cavernous hemangioma, also called cerebral cavernous malformation (when present in the brain), are benign vascular malformations, usually intraparenchymal; however, a few reported cases are in the extra-axial location—as middle cranial fossa, near the cavernous sinuses, and in the cerebellopontine angle—and are rarely reported as dura-based convexity lesion resembling meningioma. We report a giant dura-based, convexity, a cerebral cavernous malformation. We wish to notify the case as occurring at a rare location and a large-sized cerebral cavernous malformation. A case of young female presented with a long-standing history of headache. Computed tomography scan and magnetic resonance imagings (MRIs) suggested right occipital dura-based large mass lesion of approximately 5 cm in diameter. The lesion was excised and pathology studies confirmed the diagnosis of a cerebral cavernous malformation. A follow-up MRI confirmed total resection of the lesion and the patient had a smooth postoperative recovery.

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Homonymous Hemianopsia Due to a Dural Cavernous Hemangioma

Cited by 10 publications

References 0 publications

Spontaneous vertex extradural hematoma: considerations about causes

Spontaneous vertex extradural hematoma: considerations about causes

Successful removal of a huge hypervascular tentorial cavernous angioma after preoperative endovascular embolization

Convexity Dura-Based Cerebral Cavernous Malformation Mimicking Meningioma: A Case Report and Literature Review

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