Primary Intracranial Angioleiomyomas as Rare, Nonmalignant, and Distinct Neoplastic Entities: A Series of 8 Cases and a Literature Review

Li, Cheng-Bei; Xie, Mingguo; Ma, Junpeng; Wang, Liang; Hao, Shuyu; Zhang, Liwei; Jia, Wang; Jia, Guijun; Zhang, Junting; Li, Da; Li, Huan; Wu, Zhen

doi:10.1016/j.wneu.2018.01.207

Cited by 14 publications

(10 citation statements)

References 20 publications

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“…The first description of intracranial involvement was by Lach et al in 1994 [7] . Further case reports and series described the occurrence of angioleiomyoma intracranially with, up to our knowledge, only 39 cases that had been reported [3][4][5][6][7][8][9] . The exact etiology for intracranial angioleiomyoma formation is unknown.…”

Section: Discussionmentioning

confidence: 99%

“…Although the location of angioleiomyoma is commonly seen in cavernous sinus cerebellum and Sella, other anatomical locations have been described [4][5][6] . It includes parenchymal, intraventricular, basal ganglia, optic nerve, temporal lobe, skull base and external auditory meatus [6,11,12] . In our described case the location was intraparenchymal in the right parietal area.…”

Section: Discussionmentioning

confidence: 99%

“…Primary intracranial angioleiomyoma is a rare tumor, up to date only 39 cases have been reported [3,4] . It tends to occur in the cavernous sinus although a wide range of anatomical locations including parasellar region, cerebellopontine angle, internal and external auditory canals have been described [5,6] . Here we are reporting a 17-year-old boy who underwent a gross total resection of right parietal angioleiomyoma.…”

Section: Introductionmentioning

confidence: 99%

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Primary Intracranial Parasagittal Angioleiomyoma: A Case Report of Uncommon Location of a Rare Tumor

Alturaiki

Alsalman

Aljughiman

et al. 2022

ijirms

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Background: Angioleiomyoma is a soft tissue benign tumor that occurs mainly in subcutaneous tissue, involving the lower extremities in particular. We present a rare case of angioleiomyoma invading the central nervous system. Case description: A 17-year-old Saudi male presented with two months history of headache and vomiting. MRI revealed an intra-axial mass in the right parietal area. Macroscopically, the mass measuring 4.5×4×3 cm after was resected. Both imaging and histopathological findings were consistent with angioleiomyoma. In a period of 6 months of follow-up there was no recurrence of the tumor. Conclusion: Primary intracranial angioleiomyoma is an extremely uncommon tumor, though possible to happen.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Primary Intracranial Parasagittal Angioleiomyoma: A Case Report of Uncommon Location of a Rare Tumor

Alturaiki

Alsalman

Aljughiman

et al. 2022

ijirms

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“…The three subtypes are determined by quantitative differences between vascular channels and smooth muscle cells, with the lowest incidence of the cavernous type in the extremities. 14 Conversely, as an intracranial lesion, the cavernous type was the most frequent, 15 including in the orbit. 9 This is very interesting because the cavernous type is characterized by the fewest smooth muscle cells and the most abundant pathological vascular channels, sharing histological similarities with cavernous hemangiomas.…”

Section: Discussionmentioning

confidence: 99%

The underestimated incidence of an orbital angioleiomyoma is possibly associated with an orbital cavernous hemangioma: illustrative case

Choi¹,

Kim

et al. 2021

Journal of Neurosurgery: Case Lessons

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BACKGROUND Orbital angioleiomyoma is generally considered a rare tumor; approximately 40 cases have been reported. However, after their experience with 6 consecutive cases in their single institution during 3 years, the authors speculate that the incidence of orbital angioleiomyomas is possibly underestimated. OBSERVATIONS A 34-year-old female presented with progressive exophthalmos of 2 years’ duration. Orbital computed tomography and magnetic resonance imaging revealed a well-circumscribed orbital tumor with partial and heterogeneous gadolinium enhancement. Technetium-99m red blood cell single-photon emission computed tomography showed positive perfusion in the late blood-pool phase, which was exactly consistent with the finding of a cavernous hemangioma. Under the impression of a cavernous hemangioma, the authors accessed the mass with an endoscopic endonasal approach and completely removed it without neurological deficit. Pathological examination revealed that the final diagnosis was an angioleiomyoma with positive immunostaining results for smooth muscle actin (SMA). LESSONS The incidence of orbital angioleiomyomas may not be very low, as these lesions have possibly been misdiagnosed as orbital cavernous hemangiomas because of their histological similarity. Preoperative presumption and differentiation from cavernous hemangiomas are very challenging because of the rarity of orbital angioleiomyoma and similar radiological findings. SMA immunostaining may be critical to differentiate orbital angioleiomyomas from cavernous hemangiomas.

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“…This enhancement pattern is due to its central arisen gadolinium moving out peripherally. The lesions should be distinguished with a similar imaging appearance including cavernous hemangiomas, meningiomas, schwannomas, and neurofibromas as well as other well-circumscribed masses [15].…”

Section: Discussionmentioning

confidence: 99%

Angioleiomyoma in the Orbital Apex: A Case Report

Lee

Park

Moon

et al. 2019

Brain Tumor Res Treat

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A 56-year woman presented eyeball pain and blurred vision. MRI revealed a small well-delineated solid tumor in the apex of right orbit with optic nerve compression. Intraoperatively, the tumor was found very fibrous, hypervascular and adhesive to surrounding structures. The tumor was completely removed with the combination of endoscopic and microscopic technique. Patient experienced transient oculomotor nerve palsy, which completely recovered 3 months after surgery. Herein we report a rare case of angioleiomyoma in the orbital apex.

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Primary Intracranial Angioleiomyomas as Rare, Nonmalignant, and Distinct Neoplastic Entities: A Series of 8 Cases and a Literature Review

Cited by 14 publications

References 20 publications

Primary Intracranial Parasagittal Angioleiomyoma: A Case Report of Uncommon Location of a Rare Tumor

Primary Intracranial Parasagittal Angioleiomyoma: A Case Report of Uncommon Location of a Rare Tumor

The underestimated incidence of an orbital angioleiomyoma is possibly associated with an orbital cavernous hemangioma: illustrative case

Angioleiomyoma in the Orbital Apex: A Case Report

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