Download PDF
CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2016; 74(04): 356-357
DOI: 10.1590/0004-282X20150216
IMAGES IN NEUROLOGY

Intracranial capillary hemangioma misdiagnosed as a meningioma

Hemangioma capilar intracraniano assemelhando-se a um meningioma
Carlos B. Dabdoub
1   Hospital Municipal do Campo Limpo,Departamento de Neurocirurgia,Sao PauloSP,Brazil;
,
Mario Chavez
2   Hospital Universitario Japonés,Departamento de Neurocirugía,Santa Cruz de la Sierra,Bolivia;
,
Jose Luis Ferrufino
2   Hospital Universitario Japonés,Departamento de Neurocirugía,Santa Cruz de la Sierra,Bolivia;
,
Edith Claros
3   Centro de Oncología,Departamento de Patología,Santa Cruz de la Sierra,Bolivia;
,
Elisabeth do Nascimento Silveira
4   Universidade da Cidade de São Paulo,Faculdade de Medicina,Sao PauloSP,Brazil;
,
Carlos F. Dabdoub
5   Universidad Franz Tamayo,Facultad de Medicina,Departamento de Neurocirugía,Santa Cruz de la Sierra,Bolivia.
› Author Affiliations
› Further Information
Also available at
 
 PDF Download Permissions and Reprints

A 10-year-old boy was admitted to the hospital complaining of headache associated with intermittent vomiting. Non-contrast cranial computed tomography demonstrated a 4.5 x 4.0 cm well-circumscribed solid lesion in the left parietal region ([Figure 1]). Magnetic resonance imaging of the brain showed an extra-axial parietal dural-based lesion, with contrast enhancement on T1-weighted images ([Figure 2]). Additionally, a dural tail sign was evident. Neuroimaging findings were consistent with meningioma but the patient was diagnosed with capillary hemangioma by pathological examination ([Figure 3]). Therefore, this lesion should be considered in the preoperative diagnosis of extra-axial, avidly enhancing mass lesions with a dural tail sign, especially in children[1] , [2] , [3].

Zoom Image
Figure 1 (A) Tridimensional reformatted images from noncontrast CT demonstrate left parietal bone erosion. (B) Noncontrast CT, axial image, disclose and iso / hyperdense left parietal lesion.
Zoom Image
Figure 2 Coronal T1-weighted magnetic resonance image shows a contrast-enhancing extra-axial tumor with a broad dural base in the left parietal region. Note the dural tail sign (arrow).
Zoom Image
Figure 3 (A) Microscopic findings of the tumor consisted of poorly-defined capillary channels lined by a single layer of endothelial cells without nuclear atypia (Hematoxylin & eosin; x250). (B) Vascular structures and endothelial lining cells of this tumor show strong expression of vascular markers (CD31immunostaining; x200).

#

Conflict of interest:

There is no conflict of interest to declare.

  • References

  • 1 Yang G, Li C, Chen X, Liu Y, Han D, Gao X et al. Large capillary hemangioma of the temporal bone with a dural tail sign: A case report. Oncol Lett. 2014;8(1):183-6. doi:10.3892/ol.2014.2143
  • 2 Morace R, Marongiu A, Vangelista T, Galasso V, Colonnese C, Giangaspero F et al. Intracranial capillary hemangioma: a description of four cases. World Neurosurg. 2012;78(1-2):191.E15-21. doi:10.1016/j.wneu.2011.09.017
  • 3 Mirza B, Shi WY, Phadke R, Holton JL, Turner C, Plant GT et al. Strawberries on the brain - intracranial capillary hemangioma: two case reports and systematic literature review in children and adults. World Neurosurg. 2013;80(6):900.e13-21. doi:10.1016/j.wneu.2012.12.013

Address for correspondence

Carlos B. Dabdoub
Hospital Municipal do Campo Limpo, Departamento de Neurocirurgia; Estrada de Itapecerica, 1661; 05835-005 São Paulo SP
Brasil   

Publication History

Received: 09 August 2015

Accepted: 24 November 2015

Article published online:
06 September 2023

© 2023. Academia Brasileira de Neurologia. 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 commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

  • References

  • 1 Yang G, Li C, Chen X, Liu Y, Han D, Gao X et al. Large capillary hemangioma of the temporal bone with a dural tail sign: A case report. Oncol Lett. 2014;8(1):183-6. doi:10.3892/ol.2014.2143
  • 2 Morace R, Marongiu A, Vangelista T, Galasso V, Colonnese C, Giangaspero F et al. Intracranial capillary hemangioma: a description of four cases. World Neurosurg. 2012;78(1-2):191.E15-21. doi:10.1016/j.wneu.2011.09.017
  • 3 Mirza B, Shi WY, Phadke R, Holton JL, Turner C, Plant GT et al. Strawberries on the brain - intracranial capillary hemangioma: two case reports and systematic literature review in children and adults. World Neurosurg. 2013;80(6):900.e13-21. doi:10.1016/j.wneu.2012.12.013

   Permissions and Reprints
Zoom Image
Figure 1 (A) Tridimensional reformatted images from noncontrast CT demonstrate left parietal bone erosion. (B) Noncontrast CT, axial image, disclose and iso / hyperdense left parietal lesion.
Zoom Image
Figure 2 Coronal T1-weighted magnetic resonance image shows a contrast-enhancing extra-axial tumor with a broad dural base in the left parietal region. Note the dural tail sign (arrow).
Zoom Image
Figure 3 (A) Microscopic findings of the tumor consisted of poorly-defined capillary channels lined by a single layer of endothelial cells without nuclear atypia (Hematoxylin & eosin; x250). (B) Vascular structures and endothelial lining cells of this tumor show strong expression of vascular markers (CD31immunostaining; x200).