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NEUROIMAGE
Year : 2010  |  Volume : 58  |  Issue : 2  |  Page : 332-333

Coexistence multiple intracerebral, spinal cavernous angiomas and multiple intracerebral meningiomas


Department of Neurosurgery, Huashan Hospital; Neurosurgical Department, Shanghai Medical College; Fudan University, Shanghai, China

Date of Acceptance29-Oct-2009
Date of Web Publication26-May-2010

Correspondence Address:
Qihong Wang
Department of Neurosurgery, Huashan Hospital, Neurosurgical Department, Shanghai Medical College, Fudan University, No.12, Wulumuqi Mid Road-200 040, Shanghai
China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.63771

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How to cite this article:
Chen G, Leng B, Song D, Wang Q. Coexistence multiple intracerebral, spinal cavernous angiomas and multiple intracerebral meningiomas. Neurol India 2010;58:332-3

How to cite this URL:
Chen G, Leng B, Song D, Wang Q. Coexistence multiple intracerebral, spinal cavernous angiomas and multiple intracerebral meningiomas. Neurol India [serial online] 2010 [cited 2019 Sep 18];58:332-3. Available from: http://www.neurologyindia.com/text.asp?2010/58/2/332/63771


A 34 year old female presented with motor and sensory deficits of both the lower extremity. Computed tomography (CT) scan showed multiple hyperdense lesions in both the hemispheres. Non-contrast magnetic resonance imaging (MRI) of the brain revealed multiple intracerebral mixed intensity lesions with peripheral hemosiderin ring on T2-wighted sequence. MRI of the spine showed an intramedullary mixed intensity lesion at the T12-L1 level [Figure 1]. Most of the lesions showed central hyperintensity and peripheral hypointensity on the T2-weighted sequence [Figure 1]. Contrast MRI brain showed two homogeneously enhanced lesions in the convexity of bilateral temporal lobes [Figure 2]. These lesions were not apparent on both CT scan and T1 or T2 weighted MRI. Cerebral and spinal angiograms were normal. Systemic screening for other organ involvement was negative. There was no family history of similar illness in any of the near family members.

The diagnostic consideration was multiple intracerebral cavernous angiomas (CA) with bitemporal convexity menigiomas and intramedullary spinal CA. Most meningiomas are isointense on T1 and T2 weight sequences and a small meningioma may be missed on unenhanced MRI because of the intensity similar to that of cerebral cortex. The occurrence of multiple intracerebral CAs and/or spinal CAs with intracranial meningioma is rather rare more so with no family history, radiotherapy or operation. Literature review reveals six cases of solitary intracerebral CA with spinal CA, [1] two cases with multiple intracerebral CAs and single spinal CA, [2] one case with intracerebral single CA and single meningioma, and two cases with intracerebral multiple CAs associated with single meningioma. [3],[4] To the best of our knowledge, probably this is the first case of such combination.

 
  References Top

1.Nonogaki Y, Ishii M, Oda N, Nagashima C. Coexistence of intracranial and spinal cavernous angiomas: case report. No Shinkei Geka 1992;20:1277-81.  Back to cited text no. 1  [PUBMED]    
2.Parsch D, Freund M, Gerner HJ. Complete paraplegia due to multiple intracerebral and spinal cavernomas. Spinal Cord 1999;37:62-4.  Back to cited text no. 2  [PUBMED]    
3.Klein O, Freppel S, Auque J, Civit T. Cavernous angioma within an olfactory groove meningioma. Case report. J Neurosurg 2006;104:325-8.  Back to cited text no. 3  [PUBMED]  [FULLTEXT]  
4.Miyamoto T, Irie F, Ukita T, Miyake H, Kuroiwa T, Nagasawa S, Ohta T. Multiple cavernous angiomas accompanied with a convexity meningioma: a case report. No Shinkei Geka 1994;22:1053-6.  Back to cited text no. 4  [PUBMED]    


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This article has been cited by
1 Multiple Intracranial Meningiomas and Cavernous Hemangiomas
A.S. Becker,F. Gala,S. Kollias
The Neuroradiology Journal. 2012; 25(4): 423
[Pubmed] | [DOI]
2 Multiple intracranial meningiomas and cavernous hemangiomas
Becker, A.S. and Gala, F. and Kollias, S.
Neuroradiology Journal. 2012; 25(4): 423-426
[Pubmed]



 

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