Journal Information
Vol. 21. Issue 2.
Pages 138-144 (January 2010)
Share
Share
Download PDF
More article options
Vol. 21. Issue 2.
Pages 138-144 (January 2010)
Malformación cavernosa de la región pineal. Caso clínico y revisión de la literatura
Cavernous malformation of the pineal region. Case report and review of the literature
Visits
1571
C. Chamadoira
Corresponding author
clarachamadoira@gmail.com

Correspondencia: Neurosurgery Department. Hospital de São João. Alameda Professor Hernâni Monteiro, 4200-319, Porto. Portugal.
, A. Cerejo, A. Vilarinho, R. Vaz
Departamentos de Neurocirugía, Hospital de São João. Porto. Portugal
L. Castro*
* Departamentos de Anatomía Patológica. Hospital de São João. Porto. Portugal
This item has received
Article information
Resumen

Las malformaciones cavernosas de la región pineal son raras, con solamente 21 casos publicados hasta el momento en la literatura. A pesar de la dificultad de su diagnóstico debido a su extrema rareza, la presencia de esta lesión puede ser sospechada basándonos en sus características radiológicas.

Presentamos el caso de una paciente de 57 años de edad, con un cuadro clínico de instauración aguda de desorientación, somnolencia y diplopia. La TC cerebral mostró una hemorragia aguda en la región pineal e hidrocefalia triventricular asociada y la RM cerebral fue sugestiva de que se tratase de una malformación cavernosa. La paciente fue operada con escisión total de la lesión y el estudio histológico confirmó el diagnóstico de angioma cavernoso. Concluimos que la cirugía para extracción total de la lesión es el tratamiento de elección cuando, basados en la imagen, sospechamos un angioma cavernoso de la región pineal.

Palabras clave:
Angioma cavernoso
Región pineal
Resonancia magnética
Summary

Cavernous malformations rarely occur in the pineal region with only 21 reported to date. Although its diagnosis is not easy because of the extreme rareness of this condition, the presence of this lesion can be suspected based on its typical radiological findings.

We report the case of a 57-year-old woman presented with desorientation, somnolence and diplopy. The CT-scan showed an acute hemorrhage in the pineal region and triventricular hydrocephalus. An MRI suggested a cavernous malformation. The patient was operated with total en-bloc removal of the lesion. We conclude that surgical exploration and total resection is the treatment of choice when the diagnosis of cavernous angioma is suspected of the basis of neuroimaging.

Key-words:
Cavernous angioma
Magnetic resonance
Pineal region

Article

These are the options to access the full texts of the publication Neurocirugía (English edition)
Member
Member of the Sociedad Española de Neurocirugía

If it is the first time you have accessed you can obtain your credentials by contacting Elsevier Spain in suscripciones@elsevier.com or by calling our Customer Service at902 88 87 40 if you are calling from Spain or at +34 932 418 800 (from 9 to 18h., GMT + 1) if you are calling outside of Spain.

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option ¿I have forgotten my password¿.

Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Neurocirugía (English edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Email
Idiomas
Neurocirugía (English edition)
Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?