Subscribe to RSS
![](/products/assets/desktop/img/oa-logo.png)
DOI: 10.1055/s-0032-1312680
A Tentorial Venous Hemangioma Presenting As an Extra-Axial Mass in the Ambient Cistern: A Case Report
Publication History
06 August 2011
19 December 2011
Publication Date:
17 May 2012 (online)
![](https://www.thieme-connect.de/media/jnlsr/201201/lookinside/thumbnails/10.1055-s-0032-1312680-1.jpg)
Abstract
Although venous hemangiomas are one of the most common soft-tissue tumors, venous hemangiomas in the central nervous system are extremely rare. We present an unusual case of venous hemangioma originating from the interdural space of the tentorium. A 32-year-old woman was incidentally found to have extra-axial mass occupying the left ambient cistern. This tumor was observed for the first 4 years as it was completely asymptomatic. Surgical resection was later recommended when the tumor grew. The mass originated from between the two layers of the anteromedial tentorial incisura. There were no findings indicative of previous hemorrhage inside the mass. The matrix of the mass was firm and vascular, resembling a fibrous meningioma. Gross total resection was achieved without any neurological deficit. Pathological examination revealed a dense fibrous connective tissue with a proliferation of vessels marked by thickened walls. A spindle cell proliferation in the vessel walls did not stain with the antibody to S-100 protein. Movat stain demonstrated the venous character of the vessels. These results were histologically compatible with a venous hemangioma. Albeit extremely rare, a venous hemangioma, a distinct clinical and pathological entity from a venous angioma, can present an intracranial mass lesion.
-
References
- 1 Simon MA. Surgery for Bone and Soft Tissue Tumors. Philadelphia: Lippincott-Raven; 1998: 534
- 2 Murphey MD, Fairbairn KJ, Parman LM, Baxter KG, Parsa MB, Smith WS. From the archives of the AFIP. Musculoskeletal angiomatous lesions: radiologic-pathologic correlation. Radiographics 1995; 15 (4) 893-917
- 3 Allen PW, Enzinger FM. Hemangioma of skeletal muscle. An analysis of 89 cases. Cancer 1972; 29 (1) 8-22
- 4 Monin DL, Blumner K, Cohen NA, Brooks JS, Chen C, Kennedy DW. Endoscopic resection of a venous hemangioma of the optic nerve sheath. Ear Nose Throat J 2005; 84 (9) 586 , 588, 590 passim
- 5 Nichols GE, Gaffey MJ, Mills SE, Weiss LM. Lobular capillary hemangioma. An immunohistochemical study including steroid hormone receptor status. Am J Clin Pathol 1992; 97 (6) 770-775
- 6 Moore GF, Johnson PJ, McComb RD, Leibrock LG. Venous hemangioma of the internal auditory canal. Otolaryngol Head Neck Surg 1995; 113 (3) 305-309
- 7 Benoit MM, North PE, McKenna MJ, Mihm MC, Johnson MM, Cunningham MJ. Facial nerve hemangiomas: vascular tumors or malformations?. Otolaryngol Head Neck Surg 2010; 142 (1) 108-114
- 8 Greenspan A, McGahan JP, Vogelsang P, Szabo RM. Imaging strategies in the evaluation of soft-tissue hemangiomas of the extremities: correlation of the findings of plain radiography, angiography, CT, MRI, and ultrasonography in 12 histologically proven cases. Skeletal Radiol 1992; 21 (1) 11-18
- 9 Draud LA, Fix CF , eds. Vascular and Lymphatic Tumors. Philadelphia: Saunders; 2002: 4186
- 10 McCormick WF, Schochet SS. Atlas of Cerebrovascular Disease. Philadelphia: Saunders; 1976
- 11 Lasjaunias P, Burrows P, Planet C. Developmental venous anomalies (DVA): the so-called venous angioma. Neurosurg Rev 1986; 9 (3) 233-242
- 12 Ruíz DS, Yilmaz H, Gailloud P. Cerebral developmental venous anomalies: current concepts. Ann Neurol 2009; 66 (3) 271-283
- 13 Abe K, Akata S, Ohkubo Y , et al. Venous hemangioma of the mediastinum. Eur Radiol 2001; 11 (1) 73-75
- 14 Igarashi J, Hanazaki K. Retroperitoneal venous hemangioma. Am J Gastroenterol 1998; 93 (11) 2292-2293
- 15 Fermaglich J, Kattah J, Manz H. Venous angioma of the optic chiasm. Ann Neurol 1978; 4 (5) 470-471
- 16 Kohan D, Downey LL, Lim J, Cohen NL, Elowitz E. Uncommon lesions presenting as tumors of the internal auditory canal and cerebellopontine angle. Am J Otol 1997; 18 (3) 386-392