松果体区海绵状瘤1例

IF 0.6 Q4 SURGERY

International Journal of Surgery Case Reports Pub Date : 2025-04-27 DOI:10.1016/j.ijscr.2025.111381

Nischal Neupane , Sujan Paudel , Prajjwol Luitel , Sagar Khadka , Bikas Thapa , Gopal Sedain

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引用次数: 0

摘要

松果体区海绵状瘤是一种罕见的诊断，占所有脑海绵状瘤的1%，以女性为主。与该地区的其他病变相比，这些血管畸形是良性和可治愈的。病例表现女性，40岁，双侧颞叶头痛，多次呕吐，诊断为松果体海绵瘤。她被有效地管理脑室腹腔分流治疗脑积水。mri对松果体海绵状病变的诊断是有效和准确的。松果体海绵体瘤有较高的再出血风险，可引起急性阻塞性脑积水。如果手术治疗不可能，治疗脑积水是必要的。结论本病例报告强调了松果体海绵瘤早期诊断和姑息治疗的重要性。

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Cavernoma in the pineal region: A case report

Introduction

Pineal region cavernoma is a rare diagnosis comprising <1 % of all cerebral cavernous malformations with female preponderance. These vascular malformations are benign and curable compared to other lesions in the region.

Case presentation

A 40-year female presented with bilateral temporal headache and multiple episodes of vomiting and was diagnosed as pineal cavernoma. She was managed effectively with a ventriculoperitoneal shunt for hydrocephalus.

Discussion

MRI provides an effective and accurate diagnosis in cavernous lesions of pineal region. Pineal cavernoma has higher risk of rebleeding and can cause acute obstructive hydrocephalus. Treatment of hydrocephalus is necessary if the surgical treatment is not possible.