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CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2021; 10(03): 238-240
DOI: 10.1055/s-0041-1727424
Short Communication

Right Trigonal Cavernoma with Cysts and Superficial Siderosis

Dinesh Niti
1   Department of Radiodiagnosis, Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER), Puducherry, India
,
Krishnan Nagarajan 
1   Department of Radiodiagnosis, Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER), Puducherry, India
,
Mani Manoranjitha Kumari
2   Department of Neurosurgery, Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER), Puducherry, India
,
Lalith Kumar Balla
1   Department of Radiodiagnosis, Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER), Puducherry, India
,
Sushila Chauhan 
2   Department of Neurosurgery, Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER), Puducherry, India
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Abstract

Periventricular cavernomas presenting with hydrocephalus and superficial siderosis are uncommon lesions. We report a rare case of one such periventricular cavernoma located in the peritrigonal location of the right lateral ventricle in a 26-year-old male who presented with progressive headache for 3 months. Magnetic resonance imaging showed heterogeneous lesion with “blooming” on susceptibility-weighted imaging and superficial siderosis due to repeated microhemorrhages. The lesion was resected and found histopathologically to be cavernoma. We present this uncommon lesion with a review of the literature.

Keywords

trigonal cavernomas - intraventricular masses - superficial siderosis


Publication History

Article published online:
19 April 2021

© 2021. Neurological Surgeons’ Society of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Shirvani M, Hajimirzabeigi A. Intraventricular cavernous malformation: review of the literature and report of three cases with neuroendoscopic resection. J Neurol Surg A Cent Eur Neurosurg 2017; 78 (03) 269-280
    Article in Thieme ConnectPubMedGoogle Scholar
  • 2 Wu J, Ren R, Qiu Z, Wang M. Multiple intracranial cavernous angiomas with a trigonal cavernous angioma mimicking glioma. J Craniofac Surg 2018; 29 (07) e635-e637
    CrossrefPubMedGoogle Scholar
  • 3 Ohbuchi H, Osaka Y, Ogawa T. et al Trigonal cavernous malformation with intraventricular hemorrhage: a case report and literature review. J Med Invest 2012; 59 (3-4) 275-279
    CrossrefPubMedGoogle Scholar
  • 4 Wang C, Zhao M, Deng X, Wang J, Jiang Z, Zhao J. Clinical features and neurosurgical treatment of trigonal cavernous malformations. Neurosurg Rev 2018; 41 (03) 877-890
    CrossrefPubMedGoogle Scholar
  • 5 Coin CG, Coin JW, Glover MB. Vascular tumors of the choroid plexus: diagnosis by computed tomography. J Comput Assist Tomogr 1977; 1 (01) 146-148
    CrossrefPubMedGoogle Scholar
  • 6 Stavrinou LC, Stranjalis G, Flaskas T, Sakas DE. Trigonal cavernous angioma: a short illustrated review. Acta Neurochir (Wien) 2009; 151 (11) 1517-1520
    CrossrefPubMedGoogle Scholar
  • 7 Sabat SB. Intraventricular cavernous malformation with superficial siderosis. Arch Neurol 2010; 67 (05) 638-639
    CrossrefPubMedGoogle Scholar
  • 8 Sato K, Kubota T. Large calcified cystic cavernous angioma in the thalamus–case report. Neurol Med Chir (Tokyo) 1995; 35 (02) 100-103
    CrossrefPubMedGoogle Scholar
  • 9 Fearnley JM, Stevens JM, Rudge P. Superficial siderosis of the central nervous system. Brain 1995; 118 (Pt 4) 1051-1066
    CrossrefPubMedGoogle Scholar
  • 10 Kumar N. Superficial siderosis: associations and therapeutic implications. Arch Neurol 2007; 64 (04) 491-496
    CrossrefPubMedGoogle Scholar