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Multiple intracerebral intravascular papillary endothelial hyperplasia
D H Duong1, D J Scoones, D Bates
1Department of Neurological Surgery, George Washington University Medical Center, Washington, DC, USA.
Acta Neurochirurgica
|January 1, 1997
Summary
Multiple intracranial intravascular papillary endothelial hyperplasia (IPEH), a rare vascular lesion, can mimic malignant tumors. This case highlights IPEH
Area of Science:
- Neuropathology
- Vascular Lesions
- Neurosurgery
Background:
- Intravascular papillary endothelial hyperplasia (IPEH) is a rare benign vascular lesion.
- IPEH typically occurs in subcutaneous vessels but uncommonly presents in the central nervous system.
- It can be misdiagnosed as malignant tumors like angiosarcoma.
Observation:
- A 51-year-old woman presented with multiple intracranial IPEH.
- Neurological compromise resulted from a hematoma associated with one lesion.
- The patient's condition stabilized after prompt surgical hematoma evacuation.
Findings:
- This is the first reported case of multiple intracranial IPEH.
- Pathological and radiographic findings are detailed.
- A literature review on intracranial IPEH is provided.
Implications:
- Early diagnosis and surgical intervention are crucial for managing intracranial IPEH.
- Distinguishing IPEH from malignant neoplasms is vital for appropriate treatment.
- This case expands the understanding of IPEH presentation in the CNS.