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Radiation-induced cavernous malformation after stereotactic radiosurgery for cavernous sinus meningioma: a case report
BACKGROUND: Radiation-induced cavernous malformation (RICM) is a rare sequela of stereotactic radiosurgery (SRS) treatment of intracranial tumors. To date, no study reported on RICM after SRS for meningiomas originating from the skull base. The relationship between locus of initial meningioma and RI...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7678286/ https://www.ncbi.nlm.nih.gov/pubmed/33218314 http://dx.doi.org/10.1186/s12883-020-01995-8 |
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author | Yu, Zuan Huang, Bin Liang, Risheng |
author_facet | Yu, Zuan Huang, Bin Liang, Risheng |
author_sort | Yu, Zuan |
collection | PubMed |
description | BACKGROUND: Radiation-induced cavernous malformation (RICM) is a rare sequela of stereotactic radiosurgery (SRS) treatment of intracranial tumors. To date, no study reported on RICM after SRS for meningiomas originating from the skull base. The relationship between locus of initial meningioma and RICM has not been studied. CASE PRESENTATION: A 57-year-old woman presented with persistent headaches and blepharoptosis at initial episode. MRI disclosed a right parasellar lesion, diagnosed as a cavernous sinus meningioma (CSM). After receiving a single-fractionated SRS, headache relieved, but blepharoptosis did not significantly improve. Three years and three months later, she returned with headaches and dizziness. MRI showed an enlarged CSM. Moreover, a new mass-like lesion, suspected hemangioma, appeared in the nearby right temporal lobe. After surgical removal of the new lesion and the CSM, the patient’s neurological symptoms significantly improved. Pathology confirmed CSM and temporal RICM. CONCLUSIONS: We report the first rare case of RICM occurring after SRS for CSM. The RICM may be in the same region as the initial tumor. Surgical intervention was preferred for symptomatic RICM and initial meningioma. We recommend long-term regular followup MRIs for patients with meningioma after SRS treatment. |
format | Online Article Text |
id | pubmed-7678286 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-76782862020-11-20 Radiation-induced cavernous malformation after stereotactic radiosurgery for cavernous sinus meningioma: a case report Yu, Zuan Huang, Bin Liang, Risheng BMC Neurol Case Report BACKGROUND: Radiation-induced cavernous malformation (RICM) is a rare sequela of stereotactic radiosurgery (SRS) treatment of intracranial tumors. To date, no study reported on RICM after SRS for meningiomas originating from the skull base. The relationship between locus of initial meningioma and RICM has not been studied. CASE PRESENTATION: A 57-year-old woman presented with persistent headaches and blepharoptosis at initial episode. MRI disclosed a right parasellar lesion, diagnosed as a cavernous sinus meningioma (CSM). After receiving a single-fractionated SRS, headache relieved, but blepharoptosis did not significantly improve. Three years and three months later, she returned with headaches and dizziness. MRI showed an enlarged CSM. Moreover, a new mass-like lesion, suspected hemangioma, appeared in the nearby right temporal lobe. After surgical removal of the new lesion and the CSM, the patient’s neurological symptoms significantly improved. Pathology confirmed CSM and temporal RICM. CONCLUSIONS: We report the first rare case of RICM occurring after SRS for CSM. The RICM may be in the same region as the initial tumor. Surgical intervention was preferred for symptomatic RICM and initial meningioma. We recommend long-term regular followup MRIs for patients with meningioma after SRS treatment. BioMed Central 2020-11-20 /pmc/articles/PMC7678286/ /pubmed/33218314 http://dx.doi.org/10.1186/s12883-020-01995-8 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Case Report Yu, Zuan Huang, Bin Liang, Risheng Radiation-induced cavernous malformation after stereotactic radiosurgery for cavernous sinus meningioma: a case report |
title | Radiation-induced cavernous malformation after stereotactic radiosurgery for cavernous sinus meningioma: a case report |
title_full | Radiation-induced cavernous malformation after stereotactic radiosurgery for cavernous sinus meningioma: a case report |
title_fullStr | Radiation-induced cavernous malformation after stereotactic radiosurgery for cavernous sinus meningioma: a case report |
title_full_unstemmed | Radiation-induced cavernous malformation after stereotactic radiosurgery for cavernous sinus meningioma: a case report |
title_short | Radiation-induced cavernous malformation after stereotactic radiosurgery for cavernous sinus meningioma: a case report |
title_sort | radiation-induced cavernous malformation after stereotactic radiosurgery for cavernous sinus meningioma: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7678286/ https://www.ncbi.nlm.nih.gov/pubmed/33218314 http://dx.doi.org/10.1186/s12883-020-01995-8 |
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