海绵体瘤,也被称为海绵状血管瘤或海绵状畸形,是罕见的血管病变,其特征是扩张的毛细血管异常簇,而没有干预脑组织。虽然经常无症状,它们可以表现为神经症状,如头痛,癫痫发作,和焦点赤字。我们介绍了一例45岁的男性,他表现出持续性头痛和视觉幻觉。彻底的临床评估显示间歇性搏动性头痛局限于左枕骨区,伴随着短暂的生动的视觉幻觉。广泛的工作,包括实验室检查和神经成像,发现左枕叶室管膜下海绵体瘤。进行了手术切除,导致头痛持续缓解,并在后续检查期间没有视觉幻觉。这个病例通过详细的临床表现有助于理解海绵状瘤,诊断过程,并成功进行了左枕叶室管膜下海绵状瘤的手术干预。术后症状的缓解强调了个体化治疗方法的重要性,考虑到病变位置等因素,患者年龄,和相关风险。该案例突出了海绵体瘤管理方面不断发展的知识,并强调了在解决神经血管疾病方面需要量身定制的治疗决策。
Cavernomas, also known as cavernous angiomas or cavernous malformations, are rare vascular lesions characterized by abnormal clusters of dilated capillaries without intervening brain tissue. While often asymptomatic, they can manifest with neurological symptoms such as headaches, seizures, and focal deficits. We present a
case of a 45-year-old male who presented with persistent headaches and visual hallucinations. Thorough clinical assessment revealed intermittent throbbing headaches localized to the left occipital region, accompanied by brief episodes of vivid visual hallucinations. Extensive work-up, including laboratory tests and neuroimaging, identified a subependymal cavernoma in the left occipital lobe. A surgical excision was performed, resulting in sustained relief from headaches and the absence of visual hallucinations during follow-up examinations. This
case contributes to the understanding of cavernomas by detailing the clinical presentation, diagnostic process, and successful surgical intervention for a subependymal cavernoma in the left occipital lobe. The resolution of symptoms postoperatively underscores the importance of individualized treatment approaches, considering factors such as lesion location, patient age, and associated risks. The
case highlights the evolving knowledge in cavernoma management and emphasizes the need for tailored therapeutic decisions in addressing neurovascular disorders.