J Korean Radiol Soc.  1986 Oct;22(5):696-703. 10.3348/jkrs.1986.22.5.696.

Intracranial cavernous hemangioma : Neuroradiologic review of 9 cases

• Kim DI
• Lee DY
• Suh JH

• KMID: 2462271
• DOI: http://doi.org/10.3348/jkrs.1986.22.5.696

Abstract

This paper contains the results of clinical and neuroradiologic studies in 9 cases of histopathologicallyverified intracranial cavernous hemangiomas. The most common clinical presentations were focal seizure andheadache which were accompained by focal neurologic deficits. Skull films revealed abnormality in 3 cases andcerbral angiography revealed an avascular area in 8 cases, but both were of little diagnostic significance. CTusually demonstrated a hyperdense, cystic and calcified lesion without significant mass effect, and mild degereeof tubular or ring like enhancement after contrast injection. The follow-up CT findings in 4 cases over a 6-monthperiod were compatible to repeated minute hemorrhage and resolution. The above clinical and CT findings and , ifpossible, repeated CT could suggest the diagnosis of cavernous hemangioma and provide the proper management,including the avoidance of unnecessory radiation therapy and biopsy related complications.

MeSH Terms

Angiography
Biopsy
Diagnosis
Follow-Up Studies
Hemangioma, Cavernous*
Hemorrhage
Neurologic Manifestations
Seizures
Skull