Unusual Presentation of Cerebral Cavernous Malformation
Journal of Cerebrovascular and Endovascular Neurosurgery
; : 257-262, 2015.
Article
en En
| WPRIM
| ID: wpr-58501
Biblioteca responsable:
WPRO
ABSTRACT
Cerebral cavernous malformations (CMs) are vascular malformations of the central nervous system, which can be detected in the absence of any clinical symptoms. Nodules and cysts with mixed signal intensity and a peripheral hemosiderin rim are considered brain magnetic resonance imaging (MRI) findings typical of CMs. A 48-year-old man was admitted to our hospital because of abnormal MRI findings without significant neurological symptoms. A cyst with an internal fluid-fluid level was found in the left basal ganglia on the initial brain MRI. We decided to observe the natural course of the asymptomatic lesion with serial MRI follow-up. On MRI at the 5-month follow-up, the cystic mass was enlarged and showed findings consistent with those of cystic CM. Surgical resection was performed and the pathological diagnosis was CM. Our experience suggests that the initial presentation of a CM can be a pure cyst and neurosurgeons should consider the likelihood of CMs in cases of cystic cerebral lesions with intracystic hemorrhage.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Ganglios Basales
/
Encéfalo
/
Imagen por Resonancia Magnética
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Sistema Nervioso Central
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Estudios de Seguimiento
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Hemangioma Cavernoso del Sistema Nervioso Central
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Diagnóstico
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Malformaciones Vasculares
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Hemorragia
/
Hemosiderina
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
Límite:
Humans
Idioma:
En
Revista:
Journal of Cerebrovascular and Endovascular Neurosurgery
Año:
2015
Tipo del documento:
Article