Angioleiomyoma of the falx

A 43-year-old man arrived at the emergency department following a syncopal episode. Computed tomography and magnetic resonance images demonstrated a small interhemispheric, anterior parafalcine mass that mimicked a meningioma. Surgical excision and subsequent pathologic evaluation revealed an angiol...

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Bibliographic Details
Published in:Journal of radiology case reports 2016-04, Vol.10 (4), p.8-15
Main Authors: Calle, Susana, Louis, David, Westmark, Richard, Westmark, Kaye
Format: Article
Language:English
Subjects:
Adult
Angiomyoma - diagnostic imaging
Angiomyoma - pathology
Angiomyoma - surgery
Brain Neoplasms - diagnostic imaging
Brain Neoplasms - pathology
Brain Neoplasms - surgery
Diagnosis, Differential
Humans
Magnetic Resonance Imaging
Male
Neuroradiology
Tomography, X-Ray Computed
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Description
Summary:A 43-year-old man arrived at the emergency department following a syncopal episode. Computed tomography and magnetic resonance images demonstrated a small interhemispheric, anterior parafalcine mass that mimicked a meningioma. Surgical excision and subsequent pathologic evaluation revealed an angioleiomyoma and the patient recovered without incident. Angioleiomyomas are classified as benign smooth muscle tumors and are classically seen in adult females arising in the soft tissues of the lower extremities. Although rare, these masses have been described in various intracranial locations, usually extra-axially. A comprehensive review of the literature and discussion are provided, emphasizing histopathologic and imaging features of this uncommon intracranial neoplasm.
ISSN:1943-0922
1943-0922
DOI:10.3941/jrcr.v10i4.2713