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Cerebral Lymphangioma: A Clinical Case History
Fadwa Fliyou1, Sidi Mamoun Louraoui1, Youssef Ouboukhlik2
1Neurosurgery, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, MAR.
Cureus
|June 23, 2025
Summary
Cerebral lymphangioma, a rare adult brain tumor, can mimic meningioma on MRI. Surgical removal led to significant symptom improvement in this adult case.
Area of Science:
- Neurology
- Neurosurgery
- Pathology
Background:
- Cerebral lymphangiomas are exceptionally rare intracranial tumors, particularly in adults.
- Their presentation can be challenging due to nonspecific symptoms and imaging characteristics.
Observation:
- A 38-year-old male presented with diabetic ketoacidosis, severe headache, hemiparesis, and agitation.
- MRI revealed a large right parietal extra-axial lesion with cystic and hemorrhagic components, initially suspected to be a cystic meningioma.
Findings:
- Histopathology confirmed the lesion as a lymphangioma after gross total surgical resection.
- The patient experienced substantial relief from headache and improved motor function post-surgery.
Implications:
- Cerebral lymphangiomas pose diagnostic challenges, often mimicking other extra-axial lesions like meningiomas.
- Complete surgical resection is a viable treatment option, leading to favorable clinical outcomes.
- Increased awareness and reporting of adult cerebral lymphangioma cases are crucial for diagnosis and management strategies.
