title: Intracranial capillary hemangioma in an elderly patient.
abstract: BACKGROUND
  Capillary hemangiomas are neoplasms involving skin and soft tissue in infants. These lesions rarely involved an intracranial space and reported age distribution ranges from infancy to middle age. We report an extremely rare case of rapidly rising intracranial capillary hemangioma in an elderly woman.
  
  
  METHODS
  The 82-year-old woman presented with vomiting, reduced level of consciousness, and worsening mental state. Computed tomography showed a contrast-enhanced extra-axial lesion in the left frontal operculum, although no intracranial mass lesion was identifiable from magnetic resonance imaging taken 2 years earlier. Complete surgical excision was performed and histopathological examination diagnosed benign capillary hemangioma consisting of a variety of dilated capillary blood vessels lined by endothelial cells.
  
  
  CONCLUSIONS
  This is the first description of rapid growth of an intracranial capillary hemangioma in an elderly woman. These lesions are exceedingly rare in the elderly population, but still show the capacity for rapid growth. Complete excision would prevent further recurrence.
authors.affiliation: Department of Neurosurgery, Nara Medical University, Nara, Japan.
authors.forename: Ai
authors.initials: A
authors.lastname: Okamoto
authors.affiliation: Department of Neurosurgery, Nara Medical University, Nara, Japan.
authors.forename: Ichiro
authors.initials: I
authors.lastname: Nakagawa
authors.affiliation: Department of Neurosurgery, Nara Medical University, Nara, Japan.
authors.forename: Ryosuke
authors.initials: R
authors.lastname: Matsuda
authors.affiliation: Department of Neurosurgery, Nara Medical University, Nara, Japan.
authors.forename: Fumihiko
authors.initials: F
authors.lastname: Nishimura
authors.affiliation: Department of Neurosurgery, Nara Medical University, Nara, Japan.
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Motoyama
authors.affiliation: Department of Neurosurgery, Nara Medical University, Nara, Japan.
authors.forename: Young-Su
authors.initials: YS
authors.lastname: Park
authors.affiliation: Department of Neurosurgery, Nara Medical University, Nara, Japan.
authors.forename: Mitsutoshi
authors.initials: M
authors.lastname: Nakamura
authors.affiliation: Department of Neurosurgery, Nara Medical University, Nara, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Nakase
keywords: Capillary hemangioma; elderly; intracranial