De novo cavernous malformation after radiosurgery for cerebellar arteriovenous malformation: A case report
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作者:
Kim, Sang Heum
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CHA Univ, Sch Med, CHA Bundang Med Ctr, Dept Neuroradiol, Seongnam Si, South KoreaCHA Univ, Sch Med, CHA Bundang Med Ctr, Dept Neuroradiol, Seongnam Si, South Korea
Kim, Sang Heum
[1
]
Kim, Tae Gon
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CHA Univ, Sch Med, CHA Bundang Med Ctr, Dept Neurosurg, Seongnam Si, South KoreaCHA Univ, Sch Med, CHA Bundang Med Ctr, Dept Neuroradiol, Seongnam Si, South Korea
Kim, Tae Gon
[2
]
Kong, Min Ho
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Seoul Med Ctr, Dept Neurosurg, Seoul, South KoreaCHA Univ, Sch Med, CHA Bundang Med Ctr, Dept Neuroradiol, Seongnam Si, South Korea
Kong, Min Ho
[3
]
机构:
[1] CHA Univ, Sch Med, CHA Bundang Med Ctr, Dept Neuroradiol, Seongnam Si, South Korea
[2] CHA Univ, Sch Med, CHA Bundang Med Ctr, Dept Neurosurg, Seongnam Si, South Korea
[3] Seoul Med Ctr, Dept Neurosurg, Seoul, South Korea
De novo cavernous malformation;
Radiation therapy;
Radiosurgery;
Arteriovenous malformation;
D O I:
暂无
中图分类号:
R74 [神经病学与精神病学];
学科分类号:
摘要:
Stereotactic radiosurgery, including gamma knife radiosurgery (GKS), can in rare cases result in de novo cavernous malformations (CMs). Here, we present a case of de novo CM induced by GKS following treatment of a cerebellar arteriovenous malformation (AVM). A 48-year-old woman was diagnosed with left unilateral Moyamoya disease. Conventional cerebral angiography also revealed an AVM in the left cerebellum. The patient underwent GKS using a 50% isodose of 15 Gy at the margin of the left cerebellar AVM. Magnetic resonance imaging (MRI) taken 3 years after GKS revealed small chronic hemorrhages with perilesional edema in the left cerebellum. Five years later, the lesions became aggravated, but were asymptomatic. Eight years following GKS, the patient was admitted complaining of headache and dizziness. Brain MRI revealed a 1.3cm hemosiderin deposit with an inner hyperintense nodular portion that was enhanced in the left cerebellum. An open craniotomy was performed and the mass was removed, from which pathological findings were compatible with those for CM. The patient recovered to the prehemorrhagic state. This case shows that De novo CMs can rarely develop after radiosurgery. Most CMs have been reported to develop following radiosurgery for brain tumors. As shown in this patient, CMs can also develop after radiosurgery for cerebellar AVM in adults.
机构:
Hokkaido Univ, Grad Sch Med, Dept Neurosurg, Kita Ku, Sapporo, Hokkaido 0608638, JapanHokkaido Univ, Grad Sch Med, Dept Radiol, Sapporo, Hokkaido 0608638, Japan
Motegi, Hiroaki
Kuroda, Satoshi
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Hokkaido Univ, Grad Sch Med, Dept Neurosurg, Kita Ku, Sapporo, Hokkaido 0608638, JapanHokkaido Univ, Grad Sch Med, Dept Radiol, Sapporo, Hokkaido 0608638, Japan
Kuroda, Satoshi
Ishii, Nobuaki
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Hokkaido Univ, Grad Sch Med, Dept Neurosurg, Kita Ku, Sapporo, Hokkaido 0608638, JapanHokkaido Univ, Grad Sch Med, Dept Radiol, Sapporo, Hokkaido 0608638, Japan
Ishii, Nobuaki
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Aoyama, Hidefumi
Terae, Satoshi
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Hokkaido Univ, Grad Sch Med, Dept Radiol, Sapporo, Hokkaido 0608638, JapanHokkaido Univ, Grad Sch Med, Dept Radiol, Sapporo, Hokkaido 0608638, Japan
Terae, Satoshi
Shirato, Hiroki
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Hokkaido Univ, Grad Sch Med, Dept Radiol, Sapporo, Hokkaido 0608638, JapanHokkaido Univ, Grad Sch Med, Dept Radiol, Sapporo, Hokkaido 0608638, Japan
Shirato, Hiroki
Iwasaki, Yoshinobu
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Hokkaido Univ, Grad Sch Med, Dept Neurosurg, Kita Ku, Sapporo, Hokkaido 0608638, JapanHokkaido Univ, Grad Sch Med, Dept Radiol, Sapporo, Hokkaido 0608638, Japan
机构:
Univ N Carolina, Div Intervent Neuroradiol, Chapel Hill, NC 27599 USAUniv N Carolina, Div Intervent Neuroradiol, Chapel Hill, NC 27599 USA
Alvarez, Hortensia
Perry, Victor
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Univ N Carolina, Dept Neurosurg, Chapel Hill, NC 27599 USAUniv N Carolina, Div Intervent Neuroradiol, Chapel Hill, NC 27599 USA
Perry, Victor
Solle, Michael
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Univ N Carolina, Div Intervent Neuroradiol, Chapel Hill, NC 27599 USA
Univ N Carolina, Div Neuroradiol, Chapel Hill, NC 27599 USAUniv N Carolina, Div Intervent Neuroradiol, Chapel Hill, NC 27599 USA
Solle, Michael
Castillo, Mauricio
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Univ N Carolina, Div Neuroradiol, Chapel Hill, NC 27599 USAUniv N Carolina, Div Intervent Neuroradiol, Chapel Hill, NC 27599 USA
机构:
Sichuan Univ, W China Hosp, Dept Neurosurg, Chengdu 610041, Sichuan Provinc, Peoples R ChinaSichuan Univ, W China Hosp, Dept Neurosurg, Chengdu 610041, Sichuan Provinc, Peoples R China
Wang, Xiang
Hui, Xu-Hui
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Sichuan Univ, W China Hosp, Dept Neurosurg, Chengdu 610041, Sichuan Provinc, Peoples R ChinaSichuan Univ, W China Hosp, Dept Neurosurg, Chengdu 610041, Sichuan Provinc, Peoples R China
Hui, Xu-Hui
Liu, Jian-Ping
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Sichuan Univ, W China Hosp, Dept Pathol, Chengdu 610041, Sichuan Provinc, Peoples R ChinaSichuan Univ, W China Hosp, Dept Neurosurg, Chengdu 610041, Sichuan Provinc, Peoples R China
Liu, Jian-Ping
Mao, Qing
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Sichuan Univ, W China Hosp, Dept Neurosurg, Chengdu 610041, Sichuan Provinc, Peoples R ChinaSichuan Univ, W China Hosp, Dept Neurosurg, Chengdu 610041, Sichuan Provinc, Peoples R China
机构:
St Barnabas Hosp Hlth Syst, Internal Med, Albert Einstein Coll Med, New York, NY 10461 USASt Barnabas Hosp Hlth Syst, Internal Med, Albert Einstein Coll Med, New York, NY 10461 USA
Cisneros, Oscar
Rehmani, Razia
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机构:
St Barnabas Hosp Hlth Syst, Neuroradiol, Bronx, NY USASt Barnabas Hosp Hlth Syst, Internal Med, Albert Einstein Coll Med, New York, NY 10461 USA
Rehmani, Razia
de de Jesus, Katherine Garcia
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St Barnabas Hosp Hlth Syst, Internal Med, Bronx, NY USASt Barnabas Hosp Hlth Syst, Internal Med, Albert Einstein Coll Med, New York, NY 10461 USA
机构:
Department of Radiology,The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical UniversityDepartment of Radiology,The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University
An-Na Guo
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Wei Li
Ren-Hua Duan
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Department of Neurosurgery,The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical UniversityDepartment of Radiology,The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University