ABSTRACT
BACKGROUND: Dural presentation of a cavernous hemangioma is a rare occurrence. Classically an intraparenchymal lesion with varying symptomatology including mostly headaches, seizures, and neurologic deficits depending on its location, a few cases have been reported along the convexity of the brain, even less eroding the calvaria, with none occasioning abnormal movements as the initial presentation. CASE DESCRIPTION: This is a case of a 67-year-old male who presented to the clinic for atypical progressive choreiform movements of the right side of his body and a soft subgaleal mass. Radiographic imaging showed a parietal tumor with intradural and extradural invasion mimicking a meningioma, which does not provide, given its location, a clear explanation of the symptoms. A craniotomy was performed on 29 January, 2018, during which the tumor was resected along with the invaded dura mater and calvaria. CONCLUSIONS: A pathology report was positive for cavernous hemangioma, an unexpected diagnosis based on the tumor's characteristics. After surgery, the patient recovered completely without residual symptoms, suggesting a compressive mass effect causing the atypical movement disorders.
Subject(s)
Brain Neoplasms/complications , Chorea/etiology , Hemangioma, Cavernous, Central Nervous System/complications , Aged , Brain Neoplasms/diagnostic imaging , Brain Neoplasms/pathology , Brain Neoplasms/surgery , Dura Mater/diagnostic imaging , Dura Mater/surgery , Hemangioma, Cavernous, Central Nervous System/diagnostic imaging , Hemangioma, Cavernous, Central Nervous System/pathology , Hemangioma, Cavernous, Central Nervous System/surgery , Humans , Male , Neoplasm Invasiveness , Parietal Lobe/diagnostic imaging , Parietal Lobe/surgery , Skull/diagnostic imaging , Skull/pathology , Skull/surgerySubject(s)
Histiocytosis, Langerhans-Cell/pathology , Leukemia, Myeloid, Acute/pathology , Neoplasms, Second Primary/pathology , Aged, 80 and over , Antineoplastic Agents/therapeutic use , Chromosomes, Human, Pair 8/genetics , Cytarabine/therapeutic use , Humans , Leukemia, Myeloid, Acute/drug therapy , Leukemia, Myeloid, Acute/genetics , Male , TrisomyABSTRACT
We report the unusual occurrence of 3 cases of Laugier-Hunziker syndrome in the same family.
Subject(s)
Hyperpigmentation/genetics , Mouth Diseases/genetics , Pedigree , Peutz-Jeghers Syndrome/diagnosis , Tongue/pathology , Adult , Biopsy, Needle , Diagnosis, Differential , Female , Genetic Diseases, Inborn/diagnosis , Humans , Hyperpigmentation/pathology , Immunohistochemistry , Middle Aged , Mouth Diseases/pathology , Mouth Mucosa/pathology , SyndromeABSTRACT
We report on a 19-year-old man with a spinal cord compression secondary to granulocytic sarcoma (GS) as the initial presentation of a chronic myelogenous leukemia (CML). Blastic crisis developed two months later. According to our case report and to the literature, the diagnosis of GS could predict a rapid progression to blastic phase.
