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Dumbbell shaped craniorbital cavernous hemangioma

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单位: [1]Wuhan Univ, Renmin Hosp, Dept Neurosurg, 238 Jiefang Rd, Wuhan 430060, Hubei, Peoples R China [2]Harvard Med Sch, Massachusetts Gen Hosp, Canc Ctr, Boston, MA 02115 USA [3]Harvard Univ, Dept Mol & Cellular Biol, Cambridge, MA 02138 USA [4]Univ Cambridge, Dept Neurosci, Cambridge, England [5]Wuhan Univ, Renmin Hosp, Dept Neurol, Wuhan, Peoples R China [6]Wuhan Univ, Renmin Hosp, Dept Gynecol & Obstet, Wuhan, Peoples R China [7]Jinan Univ, Affiliated Hosp 1, Dept Orthoped, Guangzhou, Peoples R China [8]Huazhong Univ Sci & Technol,Tongji Hosp,Dept Neurosurg,Wuhan,Peoples R China [9]Canc Hosp Hubei Prov, Dept Anesthesiol, Wuhan, Peoples R China [10]Wuhan Univ, Renmin Hosp, Dept Geriatr, Wuhan, Peoples R China
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关键词: Craniorbital tumor Cavernous hemangioma Orbit Sphenoid

摘要:
Background Cavernous hemangioma of the orbit is a benign tumor mostly located behind the eye globe, but it rarely spread into the brain, which is called cerebral cavernous malformation as well, the lesion in the brain is irregular and enlarged blood. Here we report one particular case of craniorbital cavernous hemangioma. Case presentation A 53-year-old woman presented with exophthalmos of the right eye and reduced vision. Computerized tomographical (CT) scan showed osteolytic honeycomb radial changes of the outer plate of the skull. A magnetic resonance imaging (MRI) scan was performed to obtain further details. T1-weighted (T1W) imaging showed slightly low signal mixed with small patchy high signal. T2-weighted (T2W) imaging showed uneven high signal. There was obvious enhancement in the middle and no enhancement in the peripheral bars. A surgically manage was performed using a left frontotemporal approach, the tumor excised fully, and the histopathology results revealed a cavernous hemangioma. The patient recovered well in the follow-up. Post-operative CT scan identified the lesion was successfully resected, MRI scan also showed full resection and enhanced signal from the presence of fat. Conclusions Craniorbital cavernous hemangioma is uncommon, however within the cranium, they can lead to numerous complications particularly if affecting the visual apparatus. it could be diagnosed by imaging, which CT scan shows osteolytic honeycomb radial changes of the outer plate of the skull, T1W imaging shows slightly low signal mixed with small patchy high signal, T2W imaging shows uneven high signal, it is obvious enhancement in the middle and no enhancement in the peripheral bars. The surgically manage is the ideally treatment when there are some symptoms.

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出版当年[2019]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学
最新[2025]版:
大类 | 3 区 医学
小类 | 4 区 临床神经病学
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出版当年[2018]版:
Q3 CLINICAL NEUROLOGY
最新[2023]版:
Q3 CLINICAL NEUROLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2018版] 出版当年五年平均 出版前一年[2017版] 出版后一年[2019版]

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第一作者单位: [1]Wuhan Univ, Renmin Hosp, Dept Neurosurg, 238 Jiefang Rd, Wuhan 430060, Hubei, Peoples R China [2]Harvard Med Sch, Massachusetts Gen Hosp, Canc Ctr, Boston, MA 02115 USA
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通讯机构: [1]Wuhan Univ, Renmin Hosp, Dept Neurosurg, 238 Jiefang Rd, Wuhan 430060, Hubei, Peoples R China [2]Harvard Med Sch, Massachusetts Gen Hosp, Canc Ctr, Boston, MA 02115 USA
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