Abstract
The authors report a case of intracerebral cavernous hemangioma diagnosed by cranial CT. A woman, aged 27, had suffered from Jacksonian epilepsy since 20 year of age. The seizure involved only the left hand at first but gradually deteriorated to general convulsion with unconsciousness and postictal left hemiparesis in the last two years.
Neurological examination on admission revealed left fascial palsy, left hemiparesis and left paresthesia with increased left tendon reflex.
Lumbar puncture shows clear CSF and normal pressure. Skull radiograms and brain scintigram revealed no abnormality. Right carotid angiograms revealed the avascular area and the stretched ascending branches of the middle cerebral artery in the parietal region. Surgery disclosed the subcortical demarcated dark red tumor, 3 cm in size, accompanied with hematoma. The tumor had no remarkable feeding arteries and draining veins. Histology comfirmed a cavernous hemangioma with thrombosis in multiple vascular spaces. Her postoperative course was uneventful.
The authors discussed on the radiological findings of the intracerebral cavernous hemangioma especially those of angiography and CT scanning with a review of literatures.
