scholarly journals The Association of Extracranial and Intracranial Vascular Malformations in Children

1985 ◽  
Vol 12 (2) ◽  
pp. 139-148 ◽  
Author(s):  
Ignacio Pascual-Castroviejo
Keyword(s):  
Vascular Malformations ◽  
Cerebral Arteries ◽  
Capillary Hemangioma ◽  
Cerebral Vessels ◽  
Vascular Lesions ◽  
Trigeminal Artery ◽  
Angiographic Study ◽  
Cavernous Hemangiomas ◽  
The Face ◽  
Nevus Flammeus

ABSTRACT:This review is an attempt to relate the types of angiomas and other cutaneous vascular lesions appearing in the face with abnormalities in the formation of cerebral vessels including arteries at their origin, veins and venous sinuses, and with other less constant alterations that affect other organs, particularly the heart and cerebellum. After angiographic study of a series of patients exhibiting diverse types of vascular nevi (capillary and cavernous hemangiomas, nevus flammeus, and lymphangiomas), a correlation was established for each type of dermal nevus with a corresponding group of intracranial vascular anomalies. An explanation of these malformations based on the embryological development of the principal cerebral vessels during the 7th and 8th weeks of gestation is offered. Involvement of the facial and scalp dermatome innervated by the first sensory trigeminal branch correlates most consistently with the presence of abnormal cerebral vessels. The capillary hemangioma occurs preferentially in girls and frequently is associated with developmental anomalies of major cerebral arteries characterised by the absence of some adult vessels and the persistence of others that should have disappeared during embryogenesis such as the fetal trigeminal artery. The complete angiographic exploration of the cerebral vessels from their origin in the aortic arch to the phase of intracranial venous evacuation may reveal unexpected important findings, and is recommended for children with majorfacial vascular nevi, even if they are neurologically asymptomatic.

Is There an Association Between Hemangioma and Syndromes With Dysmorphic Features?

PEDIATRICS ◽  
1991 ◽  
Vol 88 (6) ◽  
pp. 1257-1267
Author(s):  
A. Jay Burns ◽  
Lawrence C. Kaplan ◽  
John B. Mulliken
Keyword(s):  
Aortic Arch ◽  
Vascular Malformations ◽  
Vascular Anomalies ◽  
Vascular Lesions ◽  
Dysmorphic Features ◽  
Vascular Birthmarks ◽  
Neonatal Tumor ◽  
Nevus Flammeus ◽  
Genitourinary Defects

Most vascular birthmarks can be categorized, based on clinical and cellular criteria, as either (1) a hemangioma, or (2) a malformation, or (3) a macular stain. Macular stains are commonly seen in newborns, and they consist of faint vascular stains of the glabella, eyelids, and nuchal region called "nevus flammeus," "stork bite," "salmon patch," etc. Unfortunately, the term "hemangioma" is frequently applied to all three types of cutaneous vascular lesions. Usually, these disparate vascular anomalies are listed in association with various malformative syndromes and are generically labeled "hemangioma." This study attempts to define accurately the specific vascular anomalies seen in children born with syndromes with dysmorphic features. This review of five standard textbooks of genetics showed that the majority of vascular anomalies reported in syndromic newborns are not hemangiomas. Rather, they are macular stains, and the vast majority of these fade with time. Congenital telangiectasias and other vascular malformations (capillary, lymphatic, venous, arterial, and combinations thereof) also occur in association with dysmorphic syndromes. contrast, hemangioma, the most common neonatal tumor, is seen only incidentally with rare dysmorphic conditions. Specifically, hemangioma was found to occur only in association with midline (sternal, abdominal) clefting, right-sided aortic arch coarctation, and with a constellation of sacral and genitourinary defects.

Vascular changes of the head and neck

2018 ◽  
Vol 1 (1) ◽  
pp. 24-30
Author(s):  
Zbigniew Krasiński ◽  
Aleksandra Krasińska
Keyword(s):  
Head And Neck ◽  
Vascular Malformations ◽  
Therapeutic Options ◽  
Vascular Lesions ◽  
Vascular Changes ◽  
Aesthetic Appearance ◽  
The Face ◽  
Proper Diagnosis ◽  
The Aesthetic

Many types of vascular changes on the face can be treated after proper diagnosis in such a way as to take into account the behavior of the aesthetic appearance. There are many different congenital vascular lesions in the skin, but they are mainly vascular malformations and hemangiomas. The paper presents the characteristics of changes and therapeutic options.

Vascular Malformations, Rare Causes of Sciatic Neuropathy: A Case Series

Neurosurgery ◽  
2010 ◽  
Vol 67 (4) ◽  
pp. 1133-1142 ◽  
Author(s):  
Jamie J Van Gompel ◽  
Christoph J Griessenauer ◽  
Bernd W Scheithauer ◽  
Kimberly K Amrami ◽  
Robert J Spinner
Keyword(s):  
Sciatic Nerve ◽  
Vascular Malformations ◽  
Histological Study ◽  
Venous Malformation ◽  
Case Series ◽  
Capillary Hemangioma ◽  
Vascular Lesions ◽  
Leg Pain ◽  
Sciatic Neuropathy ◽  
Internal Neurolysis

Abstract BACKGROUND: Sciatica is typically a clear-cut symptom complex commonly related to an impingement at the spinal nerve level. Etiologies of sciatic neuropathy outside the neural foramina are uncommon. OBJECTIVE: To describe 4 patients presenting with radiating leg pain due to sciatic nerve involvement, all with a vascular etiology. METHODS: Four patients presenting with neuropathic pain were retrospectively reviewed. Preoperative 3 Tesla magnetic resonance imaging was used to identify these lesions, which most commonly showed diffuse T2 changes with nerve enhancement upon administration of contrast. RESULTS: Exploration revealed vascular lesions. All patients went on to external and limited internal neurolysis of the involved sciatic nerve segment. Intraoperative histological study confirmed the presence of a venous angioma, an arteriovenous malformation, a venous malformation associated with Klippel-Trenaunay syndrome, and a capillary hemangioma. Follow-up demonstrated stable neurological examinations with reduction in pain at 1 year or greater. CONCLUSION: In patients with sciatic distribution symptoms and signs, after initial negative spine imaging, high-resolution imaging of the sciatic nerve itself should be undertaken to address rarer causes such as vascular abnormalities. In these cases, exploration and fascicular biopsy provided a diagnosis; external and limited internal neurolysis improved pain.

scholarly journals A Collision between Cavernous-Capillary Hemangioma with Stromal Luteinization and Serous Cystadenoma

Folia Medica ◽  
2020 ◽  
Vol 62 (4) ◽  
pp. 851-855
Author(s):  
Spasimir T. Shopov
Keyword(s):  
Free Testosterone ◽  
Serum Levels ◽  
Collision Tumor ◽  
Serous Cystadenoma ◽  
Capillary Hemangioma ◽  
Vascular Lesions ◽  
Tumor Pathology ◽  
Cavernous Hemangiomas ◽  
Serous Tumors ◽  
Estrogen And Progesterone Receptor

A collision tumor represents a coexistence of two adjacent but histologically distinct tumors without histologic admixture in an organ. Serous tumors of the ovary are the most common forms of epithelial tumors, and cavernous hemangiomas are rare in the ovary. Howev-er, a collision between them is an extremely rare pathology. Here the author presents a report of a 74-year-old woman whose ultrasound examines establishes rounded left ovary formation with hypo- and hyperdense sections. Paraclinical: CA125 within normal range. Serum levels free testosterone 3.79 nmol/l (normal 0.49-2.64 nmol/l for women). The histology showed benign serous cystadenoma and vascular lesions composed of capillary and cavernous vessels amongst luteinized stromal cells. The luteinized cells were positive for inhibin A. The endothelial cells were negative for estrogen and progesterone receptor. A search was conducted in the Medline database via PubMed using the terms: ‘hemangioma’, ‘ovary’, ‘collision’, ‘serous cystadenoma’, no more than 70 articles for ovarian hemangiomas appeared, and no articles for a collision between serous cystadenoma and mixed hemangioma with stromal luteinization in the ovary. From the reference, this is the first reported case of collision between serous cystadenoma and mixed cavernous-capillary hemangioma with stromal luteinization in the ovary. This rare case of collision between tumors in the ovary sheds light on possible tumor pathology in the woman’s reproductive system, which must be considered by gynaecologists and pathologists.

scholarly journals The History and Development of Endovascular Neurosurgery

2021 ◽  
Author(s):  
M.D. Xianli Lv
Keyword(s):  
Carotid Artery Disease ◽  
Vascular Malformations ◽  
Cerebral Arteries ◽  
Vascular Lesions ◽  
Vascular Tumors ◽  
Skill Sets ◽  
Arteriovenous Fistulas ◽  
Spinal Vascular Malformations ◽  
Artery Disease ◽  
Carotid Cavernous Fistulas

Endovasuclar neurosurgery, neuroendovascular surgery and neurointervention are all defined as endovascular diagnosis and treatment of vascular lesions involving the brain and spinal cord using catheters in the DSA (digital subtraction angiography) unite. Based on literature evidences, the field of endovascular neurosurgery has evolved rapidly and successfully over the past half century and has resulted in effective endovascular therapies for carotid-cavernous fistulas (CCFs), intracranial aneurysms, arteriovenous malformations (AVMs), dural arteriovenous fistulas, atherosclerosis of cerebral arteries, acute stroke, carotid artery disease, and vascular tumors of the head, neck, and spinal vascular malformations and tumors. The scope of practice of neurovascular endovascular surgery has become complex, requiring training in specific skill sets and techniques. The evolution of the neuroendovascular field has resulted in the development of program requirements for residency or fellowship education in endovascular neurosurgery.

scholarly journals Spinal Epidural Cavernous Hemangiomas: A Clinical Series of 9 Cases and Literature Review

2021 ◽  
Vol 11 ◽  
Author(s):  
Liyan Zhao ◽  
Yining Jiang ◽  
Yubo Wang ◽  
Yang Bai ◽  
Ying Sun ◽  
...  
Keyword(s):  
Surgical Intervention ◽  
Vascular Malformations ◽  
Clinical Manifestations ◽  
Neurological Deficits ◽  
Vascular Lesions ◽  
Imaging Characteristics ◽  
Clinical Series ◽  
Cavernous Hemangiomas ◽  
Spinal Epidural

ObjectiveSpinal epidural cavernous hemangiomas are very rare vascular lesions and are, therefore, seldom reported and easily misdiagnosed. Herein, we present a series of 9 cases with spinal epidural cavernous hemangiomas and discuss their pathogenesis, clinical characteristics, radiological findings, differential diagnosis, surgical interventions, pathological characteristics, and prognosis.MethodsWe retrospectively retrieved and analyzed the data of patients with pure epidural cavernous hemangiomas, who underwent spinal magnetic resonance imaging, and surgical intervention at the First Hospital of Jilin University, China, between January 2005 and December 2019. The data on patients’ clinical manifestations, imaging characteristics, surgical intervention, histopathological findings, and postoperative follow-up were also recorded and analyzed.ResultsIn all, 5 men and 4 women with the mean age of 61 years (range, 41–78 years) were recruited. All patients experienced a gradual onset of symptoms and a slowly progressive clinical course, and no patient presented an acute onset of symptoms. The clinical manifestations include myelopathic signs in 8 patients (88.9%) and radicular symptoms in 3 patients (33.3%). On T1-weighted imaging, 6 lesions appeared isointense (55.6%), and 4 lesions exhibited hypointense (44.4%) signals. On T2-weighted imaging, 8 lesions appeared hyperintense (88.9%), and 1 lesion was heterogeneously intense (11.1%). Following gadolinium administration, 5 lesions appeared homogeneous with significant enhancement (55.6%), 1 lesion was homogeneous and mild enhancement (11.1%), and 3 lesions were heterogeneous with mild enhancement (33.3%). All patients received early microsurgery assisted by intraoperative electrophysiologic monitoring and neuronavigation in the lateral position via the posterior midline approach. Five patients underwent total laminectomy (55.6%), and 4 underwent hemilaminectomy (44.4%). Total excision was achieved in all cases. The average follow-up period was 55.1 months (ranging 10–123 months). All patients exhibited significant clinical improvement of their neurological deficits and achieved a favorable outcome with no recorded recurrence at last follow-up.ConclusionsSpinal epidural cavernous hemangiomas are rare vascular malformations. Early surgical treatment with total resection is an optimum treatment, particularly for patients with an acute exacerbation onset. The prognosis is mostly good and depends predominantly on the severity of the preoperative status.

scholarly journals Rare Benign Entities of the Breast – Myoid Hamartoma and Capillary Hemangioma

2012 ◽  
Vol 72 (05) ◽  
pp. 412-418 ◽  
Author(s):  
F. Schäfer ◽  
J. Biernath-Wuepping ◽  
C. Eckmann-Scholz ◽  
B. Order ◽  
M. Mathiak ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Smooth Muscle ◽  
Breast Imaging ◽  
Vascular Malformations ◽  
Shear Wave Elastography ◽  
Duplex Sonography ◽  
Capillary Hemangioma ◽  
Cavernous Hemangiomas ◽  
Myoid Hamartoma ◽  
Invasive Intervention

Hamartomas can occur in different areas of the breast, but they are rarely found in the breast. Myoid hamartomas with smooth muscle cells of the type described here are particularly unusual. The pathogenesis of this benign entity with its tendency to growth and recurrence is not clear. Excision is the therapy of choice. Capillary hemangiomas are rare vascular malformations of the breast which, in contrast to cavernous hemangiomas, usually remain clinically occult. It is important to differentiate these benign findings from malignant angiosarcoma. The possible heterogeneities between myoid hamartoma and capillary hemangioma using current breast imaging methods for the differential diagnosis (high-resolution ultrasound, duplex sonography, shear wave elastography, digital mammography, minimally invasive intervention) are discussed together with an overview of the literature.

scholarly journals CT angiography and MRI of hand vascular lesions: technical considerations and spectrum of imaging findings

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Alain G. Blum ◽  
Romain Gillet ◽  
Lionel Athlani ◽  
Alexandre Prestat ◽  
Stéphane Zuily ◽  
...  
Keyword(s):  
Doppler Ultrasonography ◽  
Spindle Cell ◽  
State Of The Art ◽  
Vascular Malformations ◽  
Vascular Lesions ◽  
Systemic Diseases ◽  
Contrast Enhanced ◽  
Vascular Compromise ◽  
Exposure To Trauma ◽  
Technical Considerations

AbstractVascular lesions of the hand are common and are distinct from vascular lesions elsewhere because of the terminal vascular network in this region, the frequent hand exposure to trauma and microtrauma, and the superficial location of the lesions. Vascular lesions in the hand may be secondary to local pathology, a proximal source of emboli, or systemic diseases with vascular compromise. In most cases, ischaemic conditions are investigated with Doppler ultrasonography. However, computed tomography angiography (CTA) or dynamic contrast-enhanced magnetic resonance angiography (MRA) is often necessary for treatment planning. MR imaging is frequently performed with MRA to distinguish between vascular malformations, vascular tumours, and perivascular tumours. Some vascular tumours preferentially affect the hand, such as pyogenic granulomas or spindle cell haemangiomas associated with Maffucci syndrome. Glomus tumours are the most frequent perivascular tumours of the hand. The purpose of this article is to describe the state-of-the-art acquisition protocols and illustrate the different patterns of vascular lesions and perivascular tumours of the hand.

scholarly journals Posttraumatic thoracic epidural capillary hemangioma – A rare case report

2020 ◽  
Vol 11 ◽  
pp. 179 ◽  
Author(s):  
G. Sudhir ◽  
Vignesh Jayabalan ◽  
T. H. Manohar ◽  
Saikrishna Gadde ◽  
Venkatesh Kumar ◽  
...  
Keyword(s):  
Epidural Space ◽  
Lower Limb ◽  
Histopathological Examination ◽  
Cord Compression ◽  
Capillary Hemangioma ◽  
Vascular Lesions ◽  
Surgical Removal ◽  
En Bloc ◽  
Limb Weakness ◽  
Thoracic Epidural

Background: Capillary hemangiomas are benign vascular lesions commonly seen in subcutaneous tissues. The most common site of origin is from the vertebral body, and only a few cases of isolated lesions in thoracic epidural space, especially after trauma, have been reported in the literature. Case Description: We report a case of 63-year-old male with progressive bilateral lower limb weakness and exaggerated lower limb deep tendon reflexes without bowel and bladder involvement. His history revealed T7 fracture with paraparesis which was treated surgically, and implants were removed a year later. MRI showed an epidural lesion from T6-T8 extending into the right T7-8 foramen which showed hypointensity on T1, hyperintensity on T2, and homogenous enhancement in contrast images with severe cord compression. Laminectomy was done and the lesion was removed en bloc. Histopathological examination revealed it to be capillary hemangioma. The neurology came back to normal after 3 months. Conclusion: Although capillary hemangiomas are rare lesions, it has to be considered in the differential diagnosis of epidural space-occupying lesions which require early surgical removal to prevent a progressive and permanent neurological deficit.

scholarly journals Lipid and apoprotein abnormalities in the stroke subjects with or without atherosclerotic vascular lesions in the main truncs of cerebral arteries.

1988 ◽  
Vol 77 (6) ◽  
pp. 788-792
Author(s):  
Yasuo KIDA ◽  
Tohru SAWADA ◽  
Yoshihiro KURIYAMA ◽  
Hiroaki NARITOMI ◽  
Takenori YAMAGUCHI ◽  
...  
Keyword(s):  
Cerebral Arteries ◽  
Vascular Lesions
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