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Dural Cavernous Hemangioma: An Under-recognized Lesion Mimicking Meningioma

Published online by Cambridge University Press:  18 September 2015

R. Perry James ,
S. Tucker William ,
Chui Mario  and
M. Bilbao Juan
R. Perry James*
Affiliation:
Divisions of Neurology (JRP), Neurosurgery (WST), Neuroradiology (MC) and Neuropathology (JMB), St. Michael's Hospital, Toronto, Ontario, Canada
S. Tucker William*
Affiliation:
Divisions of Neurology (JRP), Neurosurgery (WST), Neuroradiology (MC) and Neuropathology (JMB), St. Michael's Hospital, Toronto, Ontario, Canada
Chui Mario*
Affiliation:
Divisions of Neurology (JRP), Neurosurgery (WST), Neuroradiology (MC) and Neuropathology (JMB), St. Michael's Hospital, Toronto, Ontario, Canada
M. Bilbao Juan*
Affiliation:
Divisions of Neurology (JRP), Neurosurgery (WST), Neuroradiology (MC) and Neuropathology (JMB), St. Michael's Hospital, Toronto, Ontario, Canada
*
Department of Pathology, St. Michael's Hospital, 30 Bond Street, Toronto, Ontario, Canada M5B 1W8
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Abstract:

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We report a 77-year-old woman who presented with partial seizures and was found to have an enhancing dural-based parietal convexity mass. The lesion enlarged on serial examination by computed tomography (CT) over a one year period. The clinical features and radiologic appearance were compatible with a pre-operative diagnosis of meningioma; however, pathologic findings were typical of a dural cavernous hemangioma. Accumulating evidence suggests that these lesions are an uncommon but distinct type of vascular malformation most often arising from the cavernous sinus, tentorium, or cerebello-pontine angle. With CT, magnetic resonance imaging and angiography, these lesions can closely resemble meningioma in terms of signal characteristics, enhancement pattern, and location. This is of importance both in the practical management of meningiomas where the diagnosis is often based on radiologic studies alone, and in clinical trials where incorrect entry diagnosis should be avoided.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 20 , Issue 3 , August 1993 , pp. 230 - 233
Copyright
Copyright © Canadian Neurological Sciences Federation 1993

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