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Multiple nodular dural cavernous angiomas occluding superior sagittal sinus and destructing calvarium: Case report and literature review

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机构: [1]Department of Neurosurgery, Peking University International Hospital, Peking University Health Science Center, Beijing 102206, PR China [2]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, PR China [3]China National Clinical Research Center for Neurological Diseases, Beijing 100050, PR China [4]Department of Neuroradiology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, PR China [5]Center of Stroke, Beijing Institute for Brain Disorders, Beijing 100050, PR China [6]Beijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing 100050, PR China
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关键词: Extra-axial cavernous angioma Hemangioma Multiple Dura sinus Skull

摘要:
Dural cavernous angiomas (CAs) outside the middle cranial fossa are uncommon vascular lesions that generally present with benign clinical course compared to those within the middle cranial fossa. Aggressive invasion of these lesions is less common and mainly involves the skull. Dura sinus invasion and diffused nodular growth are exceedingly rare. We presented a case of a 33-year-old male with multiple nodular CAs growing in a sheet-like pattern along the falx cerebri and convexity dura, which occluded the superior sagittal sinus, destructed calvarium and were associated with an isolated skull CA on the right forehead. Both dura sinus and convexity skull were extensively invaded by these multiple dural CAs without obvious mass effect, suggesting an aggressive infiltration pattern. Invasive dural CAs have been predominantly observed in patients <40 year-old and might be along the extra-axial vasculature. Therefore, cavernous angiomas should be considered in the diagnosis of dura-based invasive lesions and a closer follow-up might be recommended for young patients with dural CAs adjacent to dura sinus or skull. (C) 2018 Published by Elsevier Ltd.

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出版当年[2017]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 神经科学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 神经科学
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出版当年[2016]版:
Q4 NEUROSCIENCES Q4 CLINICAL NEUROLOGY
最新[2023]版:
Q3 CLINICAL NEUROLOGY Q4 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2016版] 出版当年五年平均 出版前一年[2015版] 出版后一年[2017版]

第一作者:
第一作者机构: [1]Department of Neurosurgery, Peking University International Hospital, Peking University Health Science Center, Beijing 102206, PR China
通讯作者:
通讯机构: [1]Department of Neurosurgery, Peking University International Hospital, Peking University Health Science Center, Beijing 102206, PR China [2]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, PR China [3]China National Clinical Research Center for Neurological Diseases, Beijing 100050, PR China [5]Center of Stroke, Beijing Institute for Brain Disorders, Beijing 100050, PR China [6]Beijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing 100050, PR China [*1]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, No. 6 Tiantan Xili, Dongcheng District, Beijing
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