Adult transverse sinus capillary hemangioma: case report and review of the literature - 08/06/24
, Clément Dunoyer a, Aude Trinquet b, Federico Cagnazzo c, Julien Boetto a, d, Marine Le Corre aHighlights |
• | Intracranial capillary hemangioma (ICH) is rare and the natural history is poorly understood. |
• | ICH in the adult population tend to grow over time and will inevitably provoke symptoms. |
• | Surgery appears to be the gold-standard for the treatment of ICH. |
• | Pregnancy seems to significantly affect the natural course of this disease. |
• | Endovascular procedure is effective to treat intracranial hypertension for CH invading transverse sinus. |
Abstract |
Background |
Adult intracranial capillary hemangioma (ICH) is an extremely rare disease with very few cases reported in the literature. Natural history is poorly understood and therapeutic management has not been clearly defined.
Methods |
Using PRISMA guidelines, we systematically reviewed all published adult cases of ICH, to which we added our own case.
Case presentation |
A 24-year-old patient with intracranial hypertension underwent stenting for left transverse sinus ICH. Recurrence was managed by subtotal resection, and radiotherapy was undertaken after a second relapse. Radiotherapy achieved complete response at last follow-up.
Results |
Among cases of ICH found in the literature, 36 concerned adults (55.3%), with clear female predominance, and only 2 cases affecting the transverse sinus (8.1%). Adult ICHs grew over time, and pregnancy seemed to accelerate natural progression. Complete resection was achieved in most cases, and radiotherapy was used in case of relapse, with high rates of tumor control.
Conclusion |
Transverse sinus ICH is uncommon, and venous stenting is a suitable option in case of tumor invasion to treat intracranial hypertension. Surgery is the gold-standard treatment, and radiotherapy is a very effective alternative, with high rates of tumor control. Natural history is not benign, particularly in case of pregnancy.
Le texte complet de cet article est disponible en PDF.Keywords : Capillary hemangioma, Intracranial, Transverse sinus
Abbreviations : CH, MRI, SFR, TS
Plan
Vol 70 - N° 5
Article 101573- septembre 2024 Retour au numéro
Article précédent
- Recurrent artery of Heubner aneurysms in focus: insights into occurrence and current treatment paradigms
- Oday Atallah, Zeinab Hammoud, Yasser F. Almealawy, Vivek Sanker, Wireko Andrew Awuah, Toufik Abdul-Rahman, Ahmed Muthana, Aalaa Saleh, Inibehe Ime Okon, Bipin Chaurasia, Moshiur Rahman, Ahmed Kertam, Amr Badary
- Operative versus non-operative management of posterior fossa epidural hematoma: A systematic review and meta-analysis
- Suleiman S. Daoud, Mohammad A. Jamous, Mohammed M. Al Barbarawi, Sultan Jarrar, Amer Jaradat, Ahmed S. Aljabali, Mohammad K. Altal, Atef F. Hulliel, Ethar A. Hazaimeh, Omar F. Jbarah, Mohammad A. Alsharman, Adam Abdallah
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?