Imaging of a 29-year-old man with seizures showed a frontal lobe mass with curvilinear narrow calcifications, cystic components and multiple flow-voids. An AVM was considered. A DSA confirmed the hypervascular nature of the lesion. It was resected and microscopic examination showed an anaplastic oligodendroglioma remarkable for a diffuse and hypertrophic vasculature with areas of frank vascular proliferation. The marked vascularity seen on the MRI, the gyriform calcifications and the cystic degeneration are all features which can be encountered in an AVM. This case illustrates that highly vascular malignant gliomas can simulate vascular lesions by radiology and may require an angiogram for diagnosis. © 2012 International Society of Neuropathology.
29 year-old man with new onset seizures / Raz, Eytan; Antonelli, Manila; Luca, Saba; Caramia, Francesca; DI PAOLO, PIER LUIGI; Bozzao, Luigi; Giangaspero, Felice; Fiorelli, Marco. - In: BRAIN PATHOLOGY. - ISSN 1015-6305. - STAMPA. - 23:4(2013), pp. 477-478. [10.1111/bpa.12061]
29 year-old man with new onset seizures
RAZ, Eytan;ANTONELLI, MANILA;CARAMIA, Francesca;DI PAOLO, PIER LUIGI;BOZZAO, Luigi;GIANGASPERO, FELICE;FIORELLI, Marco
2013
Abstract
Imaging of a 29-year-old man with seizures showed a frontal lobe mass with curvilinear narrow calcifications, cystic components and multiple flow-voids. An AVM was considered. A DSA confirmed the hypervascular nature of the lesion. It was resected and microscopic examination showed an anaplastic oligodendroglioma remarkable for a diffuse and hypertrophic vasculature with areas of frank vascular proliferation. The marked vascularity seen on the MRI, the gyriform calcifications and the cystic degeneration are all features which can be encountered in an AVM. This case illustrates that highly vascular malignant gliomas can simulate vascular lesions by radiology and may require an angiogram for diagnosis. © 2012 International Society of Neuropathology.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.