Giant cavernous hemangiomas: report of three cases.

Abstract:

:Giant cavernous hemangiomas occur very rarely, and little has been reported about their behavior. In this case report three cavernous hemangiomas with a diametric measure between 6 cm and 7 cm and distinct features will be described. A 36-year-old female patient presented with headache and nausea. A CT scan disclosed a large circumscribed tumor with strong contrast enhancement in the temporo-parieto-occipital region of the right cerebral hemisphere and extension into the right cerebellar hemisphere. A 35-year-old woman was admitted to our emergency ward with a generalized seizure and a dilated pupil. The CT scan showed an extensive left frontal lesion containing a substantial hyperintense part, suspicious for hemorrhage. A 3-year-old girl was admitted with generalized seizure and progressively declining consciousness. A large left frontotemporal paraventricular multi-cystic lesion was encountered on the CT scan. All three patients were operated on. Two recovered very well. In the case of the 3-year-old girl stable disease was reached. Giant cavernomas do not differ from average-sized cavernomas in clinical, surgical or histopathological presentation but may differ radiologically. However, the possible diagnosis of cavernoma can be overlooked, due to their size and possible differential diagnosis.

journal_name

Neurosurg Rev

journal_title

Neurosurgical review

authors

van Lindert EJ,Tan TC,Grotenhuis JA,Wesseling P

doi

10.1007/s10143-006-0042-8

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

83-92; discussion 92

issue

1

eissn

0344-5607

issn

1437-2320

journal_volume

30

pub_type

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