NDLI: Cystic cavernous angiomas.

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Cystic cavernous angiomas.

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Cystic cavernous angiomas.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Ohba, Shigeo Shimizu, Kazuhiko Shibao, Syunsuke Nakagawa, Toru Murakami, Hideki
Description	Country affiliation: Japan Author Affiliation: Ohba S ( Department of Neurosurgery, Ashikaga Red Cross Hospital, Ashikaga, Tochigi, Japan. shigeo.ohba@gmail.com)
Abstract	Cystic cavernous angiomas are rarely found in patients. We have reviewed 25 cases of cystic cavernous angiomas, including our case. The patients were predominantly women (15 women and 10 men). The patients' ages ranged from 4 months to 75 years (mean age, 44.0 years). The most frequent symptoms were headache (32%) and cerebellar signs (32%), followed by papilledema (24%), hemiparesis (20%), and seizures (20%). The cystic cavernous angiomas were located in the supratentorial region in 16 (64%) cases, the cerebellopontine angle in 4 (16%) cases, and the cerebellum in 5 (20%) cases. Multiple cystic lesions were observed in only two cases (8%). The typical magnetic resonance images of these patients showed a mixed-intensity nodule on the T1- and T2-weighted images, iso- to high-intensity cysts on the T1-weighted images, and high-intensity cysts on the T2-weighted images. In some of the images, the nodules and cyst walls were enhanced. On the T2-weighted images, the periphery of the cyst showed low intensity. The approach involving total removal of the nodule, partial resection of the cyst, and drainage of the content of the cyst is considered a preferable strategy. Histologically, the nodule showed a network of thin-walled vascular channels lined by endothelium. Hemosiderin deposits and calcification were observed in some cases, and neural tissue was absent. The cyst wall was composed of neocapillary-containing fibrous tissue and showed a proliferation of inflammatory cells and hemosiderin deposits. The etiology of cyst formation remains unclear; however, recurrent hemorrhage from the sinusoids of the vascular malformation or from the neocapillary of the cyst wall and the osmotic transport of water into the cyst are thought to induce the growth of the cyst.
File Format	HTM / HTML
ISSN	03445607
Issue Number	4
Volume Number	33
e-ISSN	14372320
Journal	Neurosurgical Review
Language	English
Publisher	Springer
Publisher Date	2010-10-01
Publisher Place	Germany
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Neurosurgery Brain Neoplasms Surgery Central Nervous System Cysts Hemangioma, Cavernous Adolescent Adult Aged Complications Diagnosis Child Child, Preschool Facial Paralysis Etiology Female Humans Infant Intracranial Arteriovenous Malformations Magnetic Resonance Imaging Male Middle Aged Paresis Young Adult Case Reports Journal Article Review
Content Type	Text
Resource Type	Case study Article
Subject	Neurology (clinical) Surgery

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