Cavernous angioma presenting as epilepsy 13 years after initial diagnosis

A 22-year-old man presented with tonic-clonic seizure and was admitted to our hospital. He had suffered from frequent headaches, and had been diagnosed with a brain tumour on MRI 13 years ago. However, neither further examination nor follow-up neuroimaging study have been performed. Computed tomogra...

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Bibliographic Details
Published in:Journal of clinical neuroscience 2004-05, Vol.11 (4), p.430-432
Main Authors: Murakami, Kensuke, Umezawa, Kunihiko, Kaimori, Mitsuomi, Nishijima, Michiharu
Format: Article
Language:English
Subjects:
Adult
Brain Neoplasms - diagnosis
Brain Neoplasms - surgery
Cavernous angioma
Epilepsy
Epilepsy - etiology
Hemangioma, Cavernous - diagnosis
Humans
Magnetic Resonance Imaging - methods
Male
Surgery
Tomography, X-Ray Computed - methods
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Summary:A 22-year-old man presented with tonic-clonic seizure and was admitted to our hospital. He had suffered from frequent headaches, and had been diagnosed with a brain tumour on MRI 13 years ago. However, neither further examination nor follow-up neuroimaging study have been performed. Computed tomography and magnetic resonance imaging demonstrated an intraaxial tumor with granular calcification in the right frontal lobe, attached to the adjacent dura mater, which was enlarged compared with the lesion on CT 13 years before. The lesion was surgically excised through right frontal craniotomy. Histopathological analysis indicated cavernous angioma. In cavernous angioma in younger children, more aggressive surgical indications than in adults may be favorable both to prevent haemorrhagic complications and to confirm pathologic diagnosis.
ISSN:0967-5868
1532-2653
DOI:10.1016/j.jocn.2003.05.010