[1]航盖,冯煜,谢天浩,等.非海绵窦区硬膜海绵状血管畸形2例报道并文献复习[J].中国临床神经外科杂志,2022,27(08):656-658.[doi:10.13798/j.issn.1009-153X.2022.08.010]
　HANG Gai,FENG Yu,XIE Tian-hao,et al.Diagnosis and treatment of dural-based cavernous hemangiomas outside the cavernous sinus: report of 2 caces and review of literature[J].,2022,27(08):656-658.[doi:10.13798/j.issn.1009-153X.2022.08.010]
点击复制

非海绵窦区硬膜海绵状血管畸形2例报道并文献复习()
分享到：

《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
27
期数:
2022年08期
页码:
656-658
栏目:
论著
出版日期:
2022-08-31

文章信息/Info

Title:
Diagnosis and treatment of dural-based cavernous hemangiomas outside the cavernous sinus: report of 2 caces and review of literature
文章编号:
1009-153X(2022)08-0656-03
作者:
航盖; 冯煜; 谢天浩; 宋健; 徐国政; 姚国杰; 骆纯
430065 武汉，武汉科技大学医学院（航盖、冯煜）；430070 武汉，中国人民解放军中部战区总医院神经外科（航盖、冯煜、谢天浩、宋健、徐国政、姚国杰）；200003 上海，中国人民解放军海军军医大学附属长征医院神经外科（骆纯）
Author(s):
HANG Gai1; 2;  FENG Yu1; 2;  XIE Tian-hao2;  SONG Jian2;  XU Guo-zheng2;  YAO Guo-jie2;  LUO Chun3
1. Medical College, Wuhan University of Science and Technology, Wuhan 430065, China; 2. Department of Neurosurgery, General Hospital of Central Theater Commmand, Wuhan 430070, China; 3. Department of Neurosurgery, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China
关键词:
海绵状血管畸形; 硬脑膜; 非海绵窦区; 显微手术; 疗效
Keywords:
Dural-based cavernous malformations cavernous sinus;  Cavernous hemangioma;  Diagnosis;  Treatment
分类号:
R739.41;R651.1+1
DOI:
10.13798/j.issn.1009-153X.2022.08.010
文献标志码:
A
摘要:
目的 探讨非海绵窦区硬脑膜海绵状血管畸形的影像学特点、诊断及治疗。方法 回顾性分析2例经术后病理证实的非海绵窦区硬脑膜海绵状血管畸形的临床资料，结合相关文献进行分析。结果 1例术前考虑大脑镰旁脑膜瘤，另1例术前考虑左侧横窦及天幕脑膜瘤。2例病灶均全切除，术后病理均证实为硬脑膜海绵状血管畸形，术后均恢复良好，未出现手术并发症，无需放疗等后续治疗。术后随访1年以上无复发。结论 非海绵窦区硬膜海绵状血管畸形极少见，容易误诊为脑膜瘤。手术切除时，应先阻断肿瘤位于硬膜或静脉窦的肿瘤基底，并尽量整块切除，否则可能遭遇汹涌的出血。该类疾病手术往往可安全有效的全切除病变，预后良好。
Abstract:
Objective To investigate the imaging features, diagnosis and treatment of dural-based cavernous malformations outside the cavernous sinus. Methods The clinical data of 2 patientss with dural-based cavernous malformations outside the cavernous sinus were retrospectively analyzed, and the related literatures were reviewed. Results One patient was diagnozed as parafalcine meningioma and the other one was diagnozed as left transverse sinus and tentorial meningioma before operation. Both lesions were completely resected, and postoperative pathological examination was confirmed as dural-based cavernous malformation. Both patients recovered well after surgery without surgical complications. The follow up (more than 1 year) showed no recurrence. Conclusions The dural-based cavernous malformations outside the cavernous sinus are very rare, and they are easy to be misdiagnosed as meningioma before operation. During surgical resection, the tumor base located in the dura or venous sinus should be blocked first, and an en bloc resection should be done as much as possible in order to reduce heavy hemorrhage. Surgery is often safe and effective in total resection with good prognosis for the patients with dural-based cavernous malformations outside the cavernous sinus.

参考文献/References:

[1]Ito M, Kamiyama H, Nakamura T, et al. Dural cavernous hemangioma of the cerebellar falx [J]. Neurol Med Chir (Tokyo), 2009, 49(9): 410-412.
[2]Boockvar JA, Stiefel M, Malhotra N, et al. Dural cavernous angioma of the posterior sagittal sinus: case report [J]. Surg Neurol, 2005, 63(2): 178-181.
[3]Bteich F, Kassab C, El Hage G, et al. Atypical presentation of parietal convexity dural-based cavernous hemangioma: a case report and review of literature [J]. World Neurosurg, 2019, 128: 403-407.
[4]Jagannatha AT, Srikantha U, Khanapure K, et al. Giant posterior fossa dural cavernoma in a child [J]. Childs Nerv Syst, 2017, 33(4): 691-694.
[5]Hwang SW, Pfannl RM, Wu JK. Convexity dural cavernous malformation with intradural and extradural extension mimicking a meningioma: a case report [J]. Acta Neurochir (Wien), 2009, 151(1): 79-83.
[6]Gutiérrez-González R, Casanova-Pe?o I, Porta-Etessam J, et al. Dural cavernous haemangioma of the anterior cranial fossa [J]. J Clin Neurosci, 2010, 17(7): 936-938.
[7]Di Vitantonio H, De Paulis D, Ricci A, et al. Cavernous hemangioma of the dura mater mimicking meningioma [J]. Surg Neurol Int, 2015, 6(Suppl 13): S375-378.
[8]Cruz AS, Jeyamohan S, Moisi M, et al. Dural-based cavernoma of the posterior cranial fossa mimicking a meningioma: a case report [J]. Cureus, 2016, 8(4): e560.
[9]Kim JS, Yang SH, Kim MK, et al. Cavernous angioma in the falx cerebri: a case report [J]. J Korean Med Sci, 2006, 21(5): 950-953.
[10]Lee AG, Parrish RG, Goodman JC. Homonymous hemiano-psia due to a dural cavernous hemangioma [J]. J Neuro-ophthalmol, 1998, 18(4): 250-254.
[11]Shen WC, Chenn CA, Hsue CT, et al. Dural cavernous angioma mimicking a meningioma and causing facial pain [J]. J Neuroimaging, 2000, 10(3): 183-185.
[12]Wang X, Liu JP, You C, et al. Convexity dural cavernous haemangioma mimicking meningioma: a case report [J]. Br J Neurosurg, 2016, 30(3): 345-347.

相似文献/References:

[1]张小军　尹　林　刘思远　张丽军.iTRAQ技术检测烟雾病病人硬脑膜特异性蛋白表达[J].中国临床神经外科杂志,2021,26(04):261.[doi:10.13798/j.issn.1009-153X.2021.04.012]
　Zhang Xiao-jun,YIN Lin,LIU Si-yuan,et al.Detection of specific protein expression of dural tissues in patients with moyamoya disease using iTRAQ technique[J].,2021,26(08):261.[doi:10.13798/j.issn.1009-153X.2021.04.012]

备注/Memo

备注/Memo:
（2022-04-08 收稿，2022-07-03 修回）
通讯作者：谢天浩，E-mail:xrang@163.com；骆　纯，E-mail：boyluochun@126.com
更新日期/Last Update: 2022-09-30