Radiological And Pathological Diagnosis Of Intracranial Cavernous Hemangioma

Radiological and histOlogical diagnosis of inthecranialCavernous anglomaPostgradwt.Serick' DUysenbi, PrOfessor Guo Huai Rollg,Assistanprofessor YU Hai Bao,Depnd of NeUrSUrgery, First ANatedHosPital of XinJiang Medical boity,URUMI(830054)OWCTIVE:We retrspectively analysed radilogical andhistological charaCteristics of histOlogically coMed 30 cases ofintracrahal cavemous angiomas in correlation wch cdrial feators,todiscuss aplOgical,esPecially un apPearance and pathologicalW ofwtal cavemous angiomas.ffeW:Al ofth6 30 pH hay lered with CT scan,2lpatients ed DSC^25 patients with un Preonerativelv and finaldiagnOsis was cford by histOfogical examination POstOPerboly.RESULTS:The patients ages ranged frOm 2 to 57 years(averge, 32years),the male tO female ratio aPPrkitnately being lf1.TWo for ofthe lesions were suPratentorial.All patients had clndcal borovement2.an:er。cros皿哪al res－ of heir lesion．hey wer md侧 byhypo－mtonslty,Is。lllte。血 or。ed intensity on non七o'lnast CTsc删,恤 m intensified皿id to mod侧e on contrast CT sc删．兀眺 W no mass曲ct or e尔m unlunless massiveMe呐．Mostlesions were s皿o尬45y coltlp！ete or mcolllplete hypo－�'�nsfly mg．Signals were 讪omogeneous t he ce�'�r of血 lesions,Wherehypermteme core。nuded by co啊l�'� or m co呷l�' hypomtense。g being he most c。on on TZ－weighted Mill pattern．Abmrmalnatod vein ws seen one of he ZI patients who had DSCAOnep�'�血�'� M ahft ceebellar c洲m地 anpomawaspcompanledby a叮 庇M c毗ellar AVMVM �'� a Spmor c毗ellar Meryne啊sm．Co叩esslon of the lpsllaterl nerior cerebral w wass删 m one h�'�llobe c跳mom angioma on DSCA．脓m删屿pMe地M nounal DSCA．ll lesions Mem恻ed恤NStolopcallycavemo地 ypes o！vessels cons佃皿g o山4me,co0age皿ons vascularchalmelsl剜mg he nistological fe恤皿s of血m田,vem,or cMlllmesmp�'�logicalexanunatlon．SlxMmom�'�daP皿lyco呷actorc删mo呷�'�rn,2。卜 mixed ca此mous�'� racmose p叨ern and weep鹏lyr肪emose p�'�沏．penes were demonstratedoutslde ofM lesionm wo cases,caplllanes m fo叮,veins m 6ye．we ace血�'�11y bund avscular lesion山W呛 the operation for an parasagital me皿9oma onhe pmp呐 of he lesion and hlstologically confirmed as cavereousangioma· CONCLUSION:l)Analysis refers。e to of皿caf signs厂汕ological拓tUfs ls hehebululm 山a耶osingu沈n出r删ale 删mous anpOOas上)Apmly comp础t or c狐mous archlteCrCral psftCm Is uncommon,most 3lesions a partially racemose architecture;3)Some histologically cavernous angioma posses a capillary component;4)Histologicaly cavernous angiomas rarely accompanied by venous abnormality.5)MRI patteili of cavernous malformations varies,the most common being a reticulated hyper-intense center surrounded by a hypo-intense ring;6)MRI is the examination of the choice in evaluating intracranial cavernous angiomas ;7)Microsurgical excision is the primary treatment of choice.