Giant Cystic Cerebral Cavernous Malformation with Multiple Calcification: Case Report.
10.7461/jcen.2013.15.3.255
- Author:
Il Chun KIM
1
;
Ki Young KWON
;
Jong Joo RHEE
;
Jong Won LEE
;
Jin Woo HUR
;
Hyun Koo LEE
Author Information
1. Department of Neurosurgery, Cheongju St. Mary's hospital, Cheongju, Korea. k810a@hanmail.net
- Publication Type:Case Report
- Keywords:
Cavernous malformation;
Giant cyst
- MeSH:
Basal Ganglia;
Biopsy;
Caves;
Craniotomy;
Glioma;
Hemangioma, Cavernous, Central Nervous System;
Humans;
Male;
Neurosurgery;
Young Adult
- From:Journal of Cerebrovascular and Endovascular Neurosurgery
2013;15(3):255-259
- CountryRepublic of Korea
- Language:English
-
Abstract:
Cerebral cavernous malformation with giant cysts is rare and literature descriptions of its clinical features are few. In this case study, the authors describe the clinical symptoms, radiological findings, and pathological diagnosis of cerebral cavernous malformations with giant cysts, reviewing the relevant literature to clearly differentiate this from other disease entities. The authors present a case of a 19-year-old male with a giant cystic cavernous malformation, who was referred to the division of neurosurgery due to right sided motor weakness (grade II/II). Imaging revealed a large homogenous cystic mass, 7.2x4.6x6 cm in size, in the left fronto-parietal lobe and basal ganglia. The mass had an intra-cystic lesion, abutting the basal portion of the mass. The initial diagnosis considered this mass a glioma or infection. A left frontal craniotomy was performed, followed by a transcortical approach to resect the mass. Total removal was accomplished without post-operative complications. An open biopsy and a histopathological exam diagnosed the mass as a giant cystic cavernous malformation. Imaging appearances of giant cavernous malformations may vary. The clinical features, radiological features, and management of giant cavernous malformations are described based on pertinent literature review.
