Intracranial Capillary Hemangioma Mimicking a Dissociative Disorder

John, Santhosh; Pillai, Unnikrishnan; Lacasse, Alexander

doi:10.4081/cp.2012.e35

Cited by 10 publications

(6 citation statements)

References 6 publications

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“…[4][5][6][7] Other cases report intracranial capillary hemangioma found in the temporal region of an adult. 5,[7][8][9][10][11][12] There are only a few instances of intracranial capillary hemangiomas documented in older adults; very few of these are intra-axial capillary hemangiomas or capillary hemangiomas in the temporal lobe or show documented growth of the hemangioma over time 13 (Table 1). To our knowledge, the present case is only the ninth case of intra-axial intracerebral capillary hemangioma reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…To our knowledge, the present case is only the ninth case of intra-axial intracerebral capillary hemangioma reported in the literature. 4,10,11,[14][15][16][17] Okamoto et al explored the de novo development of an intracranial hemangioma occurring in an older adult. 13 This lesion, identified in an 82-year-old woman, was positive for CD31 and CD34, had a Ki67 index of 7%, and was negative for GFAP and EMA.…”

Section: Discussionmentioning

confidence: 99%

“…The list is not exhaustive, as shown by other reports 4–7 . Other cases report intracranial capillary hemangioma found in the temporal region of an adult 5,7–12 . There are only a few instances of intracranial capillary hemangiomas documented in older adults; very few of these are intra‐axial capillary hemangiomas or capillary hemangiomas in the temporal lobe or show documented growth of the hemangioma over time 13 (Table 1).…”

Section: Discussionmentioning

confidence: 99%

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Documented growth of an intracranial capillary hemangioma: A case report

et al. 2023

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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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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Documented growth of an intracranial capillary hemangioma: A case report

et al. 2023

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“…In all such cases, as in our case, the preoperative diagnosis was cavernous hemangioma, metastatic brain tumor, or hemangioblastoma, which made it very difficult to differentiate them from other intraparenchymal lesions. [ 1 , 5 , 10 ]…”

Section: Discussionmentioning

confidence: 99%

Intracranial parenchymal capillary hemangioma: A case report

Sasaki,

Kuge,

Shimokawa

et al. 2023

Surgical Neurology International

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Background: Capillary hemangioma is a rare benign hemangioma that occurs in the soft tissues of the skin, orbit, head, and neck. Intracranial cases, especially intraparenchymal cases, are extremely rare. In this study, we report the course of an intracranial parenchymal capillary hemangioma with left mild motor paresis and involuntary movements of the left upper extremity and was successfully treated by surgical resection, including radiological and pathological examinations. Case Description: This is a case of a 60-year-old woman who presented with motor weakness and involuntary movement of the left upper extremity. Computed tomography and magnetic resonance imaging revealed the right frontal hemorrhagic mass lesion without enhancement of contrast medium. Cerebral digital subtraction angiography showed no vascular stain and abnormal arteriovenous shunt. Preoperatively, we diagnosed cavernous hemangioma with a hemorrhagic component located in the right motor cortex. Because this case was symptomatic, we performed a craniotomy and gross total resection of the right frontal lesion. The diagnosis of capillary hemangioma was made by histological examination, including immunohistological study. Conclusion: Because intraparenchymal capillary hemangiomas are difficult to diagnose with preoperative imaging, surgical treatment, and histopathological examination are important.

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“…All five lesions were hemorrhagic and preoperative diagnosis included metastatic brain tumor and cerebral amyloid angiopathy, but open biopsy revealed capillary hemangioma. John et al 26) reported a 59-year-old case that had a large cystic lesion with enhancing mural nodule in the right temporal lobe. Histological findings were consistent to capillary hemangioma (see Table 1).…”

Section: Case Reportmentioning

confidence: 99%