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Dural Cavernous Hemangioma: An Under-recognized Lesion Mimicking Meningioma

Published online by Cambridge University Press:  18 September 2015

R. Perry James ,
S. Tucker William ,
Chui Mario  and
M. Bilbao Juan
R. Perry James*
Affiliation:
Divisions of Neurology (JRP), Neurosurgery (WST), Neuroradiology (MC) and Neuropathology (JMB), St. Michael's Hospital, Toronto, Ontario, Canada
S. Tucker William*
Affiliation:
Divisions of Neurology (JRP), Neurosurgery (WST), Neuroradiology (MC) and Neuropathology (JMB), St. Michael's Hospital, Toronto, Ontario, Canada
Chui Mario*
Affiliation:
Divisions of Neurology (JRP), Neurosurgery (WST), Neuroradiology (MC) and Neuropathology (JMB), St. Michael's Hospital, Toronto, Ontario, Canada
M. Bilbao Juan*
Affiliation:
Divisions of Neurology (JRP), Neurosurgery (WST), Neuroradiology (MC) and Neuropathology (JMB), St. Michael's Hospital, Toronto, Ontario, Canada
*
Department of Pathology, St. Michael's Hospital, 30 Bond Street, Toronto, Ontario, Canada M5B 1W8
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Abstract:

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We report a 77-year-old woman who presented with partial seizures and was found to have an enhancing dural-based parietal convexity mass. The lesion enlarged on serial examination by computed tomography (CT) over a one year period. The clinical features and radiologic appearance were compatible with a pre-operative diagnosis of meningioma; however, pathologic findings were typical of a dural cavernous hemangioma. Accumulating evidence suggests that these lesions are an uncommon but distinct type of vascular malformation most often arising from the cavernous sinus, tentorium, or cerebello-pontine angle. With CT, magnetic resonance imaging and angiography, these lesions can closely resemble meningioma in terms of signal characteristics, enhancement pattern, and location. This is of importance both in the practical management of meningiomas where the diagnosis is often based on radiologic studies alone, and in clinical trials where incorrect entry diagnosis should be avoided.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 20 , Issue 3 , August 1993 , pp. 230 - 233
Copyright
Copyright © Canadian Neurological Sciences Federation 1993

References

REFERENCES

1.Farmer, JF, Cosgrove, GR, Villemure, J-G, et al.Intracerebral cavernous angiomas. Neurology 1988; 38: 1699–1704.CrossRefGoogle ScholarPubMed
2.Requena, I, Arias, M, Lopez-Iboc, L, et al.Cavernomas of the central nervous system: clinical and neuroimaging manifestations in 47 patients. J Neurol Neurosurg Psychiatry 1991; 54: 590–594.CrossRefGoogle ScholarPubMed
3.Simard, JM, Garcia-Rengochea, F, Ballinger, WE, Mickle, JP, Quisberg, RG. Cavernous angioma: a review of 126 collected and 12 new clinical cases. Neurosurgery 1986; 18: 162–172.CrossRefGoogle ScholarPubMed
4.New, PFJ, Aronow, S, Hesselink, JR. National Cancer Institute study: evaluation of computed tomography in the diagnosis of intracranial neoplasms. IV. Meningiomas. Radiology 1980; 136: 665–675.Google ScholarPubMed
5.Rosenbaum, AE, Rosenbloom SB. Meningiomas revisited. Semin Roentgenol 1984; 29: 1–26.Google Scholar
6.Russell, EJ, George, AE, Krichoff, II, Budzilovich, G. Atypical computed tomographic features of intracranial meningioma. Radiology 1980; 135: 673–682.CrossRefGoogle ScholarPubMed
7.Grunberg, SM, Weiss, MH, Spitz, IM, et al.Treatment of unresectable meningiomas with the antiprogesterone agent Mifepristone. J Neurosurg 1991; 74: 861–866.CrossRefGoogle ScholarPubMed
8.Kondziolka, D, Lunsford, LD, Coffey, RJ, Flickinger, JC. Stereotactic radiosurgery of meningiomas. J Neurosurg 1991; 74: 552–559.CrossRefGoogle ScholarPubMed
9.Russell, DS, Rubinstein, LJ. Pathology of Tumours of the Nervous System, 4th edition. Baltimore: Williams and Wilkins, 1977: 129-134.Google Scholar
10.Umansky, F, Pappo, I, Pizov, G, Shalet, M. Cystic change in intracranial meningiomas. A review. Acta Neurochir (Wien) 1988; 95: 13–18.CrossRefGoogle ScholarPubMed
11.Becker, D, Norman, D, Wilson, CB. Computed tomographic and pathologic correlation in cystic meningiomas. J Neurosurg 1979; 50: 103–105.CrossRefGoogle Scholar
12.Katayama, Y, Tsubokawa, T, Miyazaki, S, Yoshida, K, Himi, K. Magnetic resonance imaging of cavernous sinus cavernous hemangiomas. Neuroradiology 1991; 33: 118–122.CrossRefGoogle ScholarPubMed
13.Rigamonti, D, Pappas, CTE, Spetzler, RF, Johnson, PC. Extracerebral cavernous angiomas of the middle fossa. Neurosurgery 1990; 27: 306–310.CrossRefGoogle ScholarPubMed
14.Sepehrnia, A, Tatasiba, M, Brandis, A, Samii, M, Parwitz, R-H. Cavernous angioma of the cavernous sinus: case report. Neurosurgery 1990; 27: 151–155.CrossRefGoogle ScholarPubMed
15.Meyer, FB, Lombardi, D, Scheithauer, B, Nichols, DA. Extra-axial cavernous hemangiomas involving the dural sinuses. J Neurosurg 1990; 73: 187–192.CrossRefGoogle ScholarPubMed
16.Bordi, L, Pires, M, Symon, L. Cavernous angioma of the cerebello-pontine angle: a case report. Br J Neurosurgery 1991; 5: 83–86.CrossRefGoogle ScholarPubMed
17.Quattrocchi, KB, Kissell, P, Ellis, WG, Frank, EH. Cavernous angioma of the tentorium cerebelli. J Neurosurg 1989; 71: 935–937.CrossRefGoogle ScholarPubMed
18.Fehlings, MG, Tucker, WS. Cavernous hemangioma of Meckel's cave. J Neurosurg 1988; 68: 645–647.CrossRefGoogle ScholarPubMed
19.Pagni, CA, Cañavero S, Forni M. Report of a cavernoma of the cauda equina and review of the literature. Surg Neurol 1990; 33: 124–131.CrossRefGoogle ScholarPubMed
20.Matias-Guiu, X, Alejo, M, Sole, T, et al.Cavernous angioma of the cranial nerves. J Neurosurg 1990; 73: 620–622.CrossRefGoogle ScholarPubMed
21.Isla, A, Roda, JM, Alvarez, F, Menoz, J, Garcia, E, et al.Intracranial cavernous angioma in the dura. Neurosurgery 1989; 25: 657–659.CrossRefGoogle ScholarPubMed
22.Saldana, CJ, Zimman, H, Alonso, P, Mata, PR. Neonatal cavernous hemangioma of the dura mater: case report. Neurosurgery 1991; 29: 602–605.CrossRefGoogle ScholarPubMed
23.Rohringer, M, Sutherland, GR, Louw, DF, Sima, A. Incidence and clinicopathologic features of meningioma. J Neurosurg 1989; 71: 665–672.CrossRefGoogle ScholarPubMed
24.Namba, S. Extracerebral cavernous hemangioma of the middle cranial fossa. Surg Neurol 1983; 19: 379–388.CrossRefGoogle ScholarPubMed
25.Shibata, S, Mori, K. Effect of radiation therapy on extracerebral cavernous hemangioma in the middle fossa. J Neurosurg 1987; 67: 919–922.CrossRefGoogle ScholarPubMed
26.Del, Curling O Jr., Kelly, DL Jr., Elster, AD, Craven, TE. An analysis of the natural history of cavernous angiomas. J Neurosurg 1991; 75: 702–708.Google Scholar
27.Fischer, EG, Totrel, A, Welch, K. Cerebral hemangioma with glial neoplasia (angioglioma?). Report of two cases. J Neurosurg 1982; 56: 430–434.Google ScholarPubMed
28.Lombardi, D, Scheithauer, BW, Piepgras, D, Meyer, FB, Forbes, GS. “Angioglioma” and the arteriovenous malformation-glioma association. J Neurosurg 1991; 75: 589–596.CrossRefGoogle ScholarPubMed
29.Wilson, CB. Cryptic vascular malformations. Clin Neurosurg 1992; 38: 49–84.Google ScholarPubMed