Intracranial hemangiomas in a patient with POEMS syndrome

Maurer, Gabriele D.; Schittenhelm, Jens; Ernemann, Ulrike; Kempf, Volkhard A. J.; Ritz, Rainer; Weller, Michael; Schmidt, Friederike

doi:10.1007/s00415-009-5398-6

Cited by 9 publications

(4 citation statements)

References 16 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%

“…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%

Documented growth of an intracranial capillary hemangioma: A case report

et al. 2023

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“…ICH can grow in the cerebral lobe ( 4 , 9 ), cavernous sinus ( 15 ), lumen of the superior sagittal sinus ( 16 ), cerebellum ( 4 ), anterior choroidal artery ( 17 ), fourth venticle ( 8 ) and sellar region ( 18 ). Following analysis of the 29 cases, no predilection for a specific site of ICH growth was apparent and in a number of cases, only a single lesion was detected but there were multiple tumors (4 of 29 reported cases) ( 4 , 19 , 20 ). The clinical symptoms of ICH are very diverse and differ according to tumor location and size.…”

Section: Discussionmentioning

confidence: 99%

Nearly asymptomatic intracranial capillary hemangiomas: A case report and literature review

Xia

Zhang

Gao

et al. 2017

Experimental and Therapeutic Medicine

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The present study reported a nearly asymptomatic case of intracranial capillary hemangioma (ICHs), which are rare benign vascular tumors or tumor-like lesions. A 33-year-old female came to the hospital with a complaint of a slight but recurring morning headache concentrated in the left posterior occipital area. These headaches spontaneously resolved without any treatment. Computed tomography and magnetic resonance imaging revealed a mass inside the left occipital lobe. The patient refused to undergo conservative observation at home and insisted on radical therapy. Prior to surgery, an atypical meningioma or astrocytoma was suspected. A navigation-guided brain-mass resection was performed under general anesthesia and a solid mass closely associated with the tentorium cerebelli was completely resected. Histopathological analysis confirmed diagnosis of an ICH. The patient recovered well and experienced no major neurological defects, apart from an issue with the right visual field. The present study also conducted a retrospective literature review of papers published in English describing cases of intracranial capillary hemangiomas. A PubMed search identified 19 articles comprising 29 cases. The clinical symptoms of ICH are diverse and all reported cases in the literature were symptomatic. Previous studies demonstrated that diagnoses of intracranial capillary hemangioma are usually made during surgical resection by histopathological examination. Treatment for ICH remains empirical and surgery is the most common method of treatment. Patient prognosis is generally good-the majority of patients achieve long-term, event- and progression-free survival.

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“…On the basis of their locations and, most of them were diagnosed as meningioma before surgery. [1][2][3][4][6][7][8][9][10][11][12][13][14][15][16][17][18][19] Interestingly, intracranial capillary hemangioma may arise from the ethmoid and sphenoid sinuses, infundibular recess, fourth ventricle, and anterior choroidal artery as an extra-axial mass. [20][21][22][23] In fact, capillary hemangioma is only presented as an intraosseous form in the skull in WHO Classification of Tumours of the Central Nervous System Revised 4th Edition.…”

Section: Case Reportmentioning

confidence: 99%