• J Neuroimaging · Jul 2000

    Case Reports

    Dural cavernous angioma mimicking a meningioma and causing facial pain.

    • W C Shen, C A Chenn, C T Hsue, and T Y Lin.
    • Department of Radiology, China Medical College Hospital, Taichung, Taiwan, R.O.C.
    • J Neuroimaging. 2000 Jul 1; 10 (3): 183-5.

    AbstractAn 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.

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