Cover Image

An Occipital Headache as the First Presentation of Multiple Third, Fourth, and Lateral Ventricular Cavernous Malformations: A Case Report and Review of Literature

Alireza Vakilian, Amir Moghadam Ahmadi, Habib Farahmand

Background: Cavernous hemangiomas are common benign vascular malformations. Their existence in the intraventricular region is very rare. Case Reports: A 43-year old woman with an occipital headache was admitted to the emergency ward. Brain computed tomography scan showed mild hydrocephalus and multiple intraventricular isodense lesions. Imaging findings, especially of Gradient Resonance Echo imaging, were in favor of multiple intraventricular cavernous malformations. Conclusion: This is a rare presentation of multiple cavernous malformation as occipital headache without needing surgical intervention in this phase. Coexistence of periventricular plaques like Radiologically isolated syndrome of Multiple sclerosis is another unique aspect in this report. [GMJ.2017;6(1):61-65]

Multiple; Cavernous Malformations; Ventricular Hemangiomas
PDF HTML EPUB

Patibandla MR, Thotakura AK, Panigrahi MK. Third ventricular cavernous malformation: an unusual lesion. Br J Neurosurg.. 2014;28(1):110-2.

Ohbuchi H, Osaka Y, Ogawa T, Nanto M, Nakahara Y, Katsura K, et al. Trigonal cavernous malformation with intraventricular hemorrhage: A case report and literature review. J Med Invest. 2012;59(3.4):275-9.

Lee B-J, Choi C-Y, Lee C-H. Intraventricular cavernous hemangiomas located at the foramen of monro. J Korean Neurosurg Soc. 2012;52(2):144-7.

Zakaria M, Abdullah J, George J, Mutum S, Lee N. Third ventricular cavernous angioma. Med J Malaysia. 2006;61(2):229.

Stavrinou L, Stranjalis G, Flaskas T, Sakas D. Trigonal cavernous angioma: a short illustrated review. Acta Neurochir (Wien). 2009;151(11):1517-20.

Zabramski JM, Wascher TM, Spetzler RF, Johnson B, Golfinos J, Drayer BP, et al. The natural history of familial cavernous malformations: results of an ongoing study. J Neurosurg. 1994;80(3):422-32.

Bulut HT, Sarica MA, Baykan AH. The value of susceptibility weighted magnetic resonance imaging in evaluation of patients with familial cerebral cavernous angioma. Int J Clin Exp Med. 2014;7(12):5296.

Jin S-C, Ahn J-S, Kwun B-D, Kwon DH. Intraventricular cavernous malformation radiologically mimicking meningioma. J Korean Neurosurg Soc. 2008;44(5):345-7.

Wang J, Gong X. Superficial siderosis of the CNS associated with multiple cerebral cavernous malformation. Neurology. 2009;72(13):1187.

Han M-S, Moon K-S, Lee K-H, Kim S-K, Jung S. Cavernous hemangioma of the third ventricle: a case report and review of the literature. World J Surg Oncol. 2014;12(1):237.

Refbacks

  • There are currently no refbacks.