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Case Reports
. 2008 Nov;44(5):345-7.
doi: 10.3340/jkns.2008.44.5.345. Epub 2008 Nov 30.

Intraventricular cavernous malformation radiologically mimicking meningioma

Affiliations
Case Reports

Intraventricular cavernous malformation radiologically mimicking meningioma

Sung-Chul Jin et al. J Korean Neurosurg Soc. 2008 Nov.

Abstract

We report a case of trigonal cavernous malformation (CM) radiologically mimicking meningioma. The computed tomographic (CT) head angiography and magnetic resonance imaging (MRI) showed a partially calcified lesion with slight contrast enhancement located in the area of the left atrium of lateral ventricle. The lesion was completely removed using microsurgery with a parieto-occipital transcortical approach. The resected mass was histologically confirmed as CM. CM should be considered as differential diagnosis in case of the atrial mass lesion due to lack of hemosiderin ring characteristically seen other seated CM.

Keywords: Atrium; Cavernous malformation; Meningioma; Trigone.

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Figures

Fig. 1
Fig. 1
Preoperative Brain magnetic resonance (MR) image and computed tomography (CT) head angiography. A : T2-weighted image showing a mass at the left trigonal region without hydrocephalus or edema. B : Preoperative gadolinum-enhanced T1-weighted MR image demonstrating a scanty enhanced lesion. C : Preoperative CT-head angiography revealing no definite feeding arteries. D : preoperative gradient echo MR image showing intratumoral hemorrhage or thrombosis.
Fig. 2
Fig. 2
Photomicrograph of the cavernous malformation resected. The mass consists of multiple large, dilatated and hyalinized vessels, lined by flattened endothelia.
Fig. 3
Fig. 3
Postoperative Brain computed tomography demonstrating the route approaching the left trigone and confirming complete removal of the tumor.

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