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Intracranial capillary hemangioma: a description of four cases
- Source :
- World neurosurgery. 78(1-2)
- Publication Year :
- 2011
-
Abstract
- Objective Capillary hemangiomas are benign vascular lesions involving the skin and soft tissues that commonly occur at birth or an early age. Intracranial capillary hemangiomas are extremely rare; only 14 cases have been reported the literature. Case Description We describe four patients with capillary hemangiomas. In two of these patients the lesions arose from the cavernous sinus. In the third patient, a large capillary hemangioma arising from the middle cranial fossa extended into the infratemporal fossa. The fourth patient had a left hemorrhagic temporoparietal capillary hemangioma. Results The first two patients underwent a partial resection, followed by radiotherapy. Local tumor control was achieved in both cases, as shown by the follow-up magnetic resonance imaging. In the third patient the lesion was subtotally removed after embolization. Radiotherapy, performed one year after surgery because of recurrence, allowed tumor control. In the fourth patient surgical removal was total and no adjuvant radiotherapy was required after surgery; follow-up magnetic resonance imaging did not show any recurrence at the one-year follow-up. Conclusion Surgery is an option for symptomatic intracranial capillary hemangiomas. However, because partial removal is associated with a high recurrence rate, capillary hemangiomas that cannot be removed radically should be treated with radiotherapy, which offers the possibility of controlling lesion size and preventing tumor recurrence.
- Subjects :
- Male
medicine.medical_treatment
Middle cranial fossa
Postoperative Complications
Parietal Lobe
Embolization
Hemangioma, Capillary
Neurologic Examination
medicine.diagnostic_test
Brain Neoplasms
Capillary hemangioma
Infratemporal fossa
Middle Aged
Combined Modality Therapy
Embolization, Therapeutic
Magnetic Resonance Imaging
Temporal Lobe
medicine.anatomical_structure
Cavernous sinus
Cavernous Sinus
Female
Radiology
medicine.symptom
Craniotomy
Adult
medicine.medical_specialty
capillary hemangioma
middle cranial fossa
cavernous sinus
radiotherapy
surgery
Adolescent
Skull Base Neoplasms
Lesion
medicine
Humans
Cranial Fossa, Middle
business.industry
Magnetic resonance imaging
medicine.disease
Surgery
Cerebral Angiography
body regions
Radiation therapy
Radiotherapy, Adjuvant
Neurology (clinical)
Neoplasm Recurrence, Local
business
Tomography, X-Ray Computed
Follow-Up Studies
Subjects
Details
- ISSN :
- 18788769
- Volume :
- 78
- Issue :
- 1-2
- Database :
- OpenAIRE
- Journal :
- World neurosurgery
- Accession number :
- edsair.doi.dedup.....feac58fa75d6e48bab1dad4d18e4fcaf