Giant Calcified Cavernous Hemangioma Managed with Modified Double Concentric Craniotomy.

Autor: Jha VC; Department of Neurosurgery, All India Institute of Medical Sciences, Patna, Bihar, India., Abhijit V; Department of Neurosurgery, All India Institute of Medical Sciences, Patna, Bihar, India., Jha N; Department of Neurosurgery, All India Institute of Medical Sciences, Patna, Bihar, India., Rewatkar S; Department of Neurosurgery, All India Institute of Medical Sciences, Patna, Bihar, India., Sinha VS; Department of Neurosurgery, All India Institute of Medical Sciences, Patna, Bihar, India., Alam MS; Department of Neurosurgery, All India Institute of Medical Sciences, Patna, Bihar, India.
Jazyk: angličtina
Zdroj: Journal of neurosciences in rural practice [J Neurosci Rural Pract] 2021 Jul; Vol. 12 (3), pp. 592-595. Date of Electronic Publication: 2021 May 07.
DOI: 10.1055/s-0041-1727409
Abstrakt: Giant calcified cavernous hemangioma is uncommon, and calvarial invasion with intracranial extension and dural breach is rare. Radiological resemblance to lesions like meningioma is unreported. Surgical excision of such lesions is technically challenging. A 35-year-old female presented with recurrent generalized tonic-clonic seizures for 2 years. Imaging suggested a highly vascular lesion arising from the skull, mimicking intraosseous meningioma, sarcoma, metastases, and so on. Double concentric craniotomy was done with lifting of bones separately around sinuses with radial cuts of dura to visualize tumor-cortical interface to safeguard neurovascular structures, and complete excision was achieved. Histopathology was suggestive of calcified cavernous hemangioma. The patient was asymptomatic at 1 year of follow-up.Differentiating angiomatous and intraosseous meningioma from calcifying giant hemangioma and other mimicking lesions may be difficult on imaging. Modified double concentric craniotomy, although used uncommonly, can be a useful technique safeguarding the neurovascular structures in its proximity.
Competing Interests: Conflict of Interest None declared.
(Association for Helping Neurosurgical Sick People. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.).)
Databáze: MEDLINE
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