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Cavernous angioma presenting as epilepsy 13 years after initial diagnosis
Kensuke Murakami1, Kunihiko Umezawa, Mitsuomi Kaimori
1Department of Neurosurgery, Aomori Prefectural Central Hospital, 2-2-1 Higahshi-tsukurimichi, Aomori, Japan. kensuke@green.ocn.ne.jp
Summary
A brain tumor diagnosed 13 years prior presented as a tonic-clonic seizure in a 22-year-old man. Surgical removal confirmed it was a cavernous angioma, highlighting the need for timely intervention in young patients.
Area of Science:
- Neurology
- Neurosurgery
- Pathology
Background:
- A 22-year-old male presented with a tonic-clonic seizure.
- He had a history of headaches and a brain tumor diagnosis 13 years prior, with no follow-up imaging.
- This delayed diagnosis led to a significant delay in management.
Observation:
- Imaging revealed an intra-axial tumor in the right frontal lobe with granular calcification.
- The tumor had enlarged compared to a CT scan from 13 years earlier.
- The lesion was attached to the adjacent dura mater.
Findings:
- Surgical excision via right frontal craniotomy was performed.
- Histopathological analysis confirmed the tumor as a cavernous angioma.
- Cavernous angiomas can present with seizures and headaches.
Implications:
- Early surgical intervention for cavernous angiomas in young patients may prevent hemorrhagic complications.
- Prompt diagnosis and management are crucial for better patient outcomes.
- This case underscores the importance of regular neuroimaging follow-up for suspected brain tumors.