Dural cavernous angioma mimicking a meningioma and causing facial pain.
An 18-year-old girl who had severe headaches in the left temporal and facial regions was found to have a small enhanced dural-based parietal convexity mass. On magnetic resonance imaging (MRI), this mass was homogeneously enhanced with "dural tail sign," and was similar to a meningioma. This mass was completely removed surgically, and pathology proved it to be a cavernous angioma without previous hemorrhages. The patient's facial pain was dramatically relieved after surgery. A small dural mass causing severe facial pain is an unusual situation. The lack of hemosiderin in the extra-axial cavernous angioma often leads to the preoperative diagnosis of meningioma.
Department of Radiology, China Medical College Hospital, Taichung, Taiwan, R.O.C.
W C
WC
Shen
C A
CA
Chenn
C T
CT
Hsue
T Y
TY
Lin
D000293:Adolescent; D003937:Diagnosis, Differential; D004388:Dura Mater / Q000473:pathology; D005157:Facial Pain / Q000209:etiology*; D005260:Female; D006392:Hemangioma, Cavernous / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008577:Meningeal Neoplasms / Q000150:complications / Q000175:diagnosis*; D008579:Meningioma / Q000150:complications / Q000175:diagnosis*