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Dural Cavernous Angioma Mimicking a Meningioma and Causing Facial Pain
Author(s) -
Shen WuChung,
Chenn ChaAn,
Hsue ChauTien,
Lin TzeYi
Publication year - 2000
Publication title -
journal of neuroimaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.822
H-Index - 64
eISSN - 1552-6569
pISSN - 1051-2284
DOI - 10.1111/jon2000103183
Subject(s) - medicine , hemosiderin , angioma , magnetic resonance imaging , headaches , meningioma , facial pain , surgery , radiology , vascular disease , pathology
An 18‐year‐old girl who had severe headaches in the left temporal and facial regions was found to have a small enhanced dural‐based parietal convexity mass. On magnetic resonance imaging (MRI), this mass was homogeneously enhanced with “dural tail sign,” and was similar to a meningioma. This mass was completely removed surgically, and pathology proved it to be a cavernous angioma without previous hemorrhages. The patient's facial pain was dramatically relieved after surgery. A small dural mass causing severe facial pain is an unusual situation. The lack of hemosiderin in the extra‐axial cavernous angioma often leads to the preoperative diagnosis of meningioma.