Vol 49, No 6 (2015)

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A large cavernous malformation of the third ventricle floor: A case report

Hiroaki Nagashima1, Kazuhiro Tanaka1, Takashi Sasayama1, Yusuke Okamura1, Masaaki Taniguchi1, Kyoko Otani2, Takashi Yamasaki2, Tomoo Itoh2, Eiji Kohmura1
DOI: 10.1016/j.pjnns.2015.08.004
Neurol Neurochir Pol 2015;49(6):446-450.

Abstract

Suprasellar and third ventricular region cavernous malformations originating from the floor of the third ventricle are extremely rare. We report a case of third ventricular cavernous malformation arising from the ventricle floor in a 24-year-old woman who presented with short-term memory loss and disorientation. Computed tomography revealed a suprasellar mass with calcification in the posterior chiasmatic region. T2-weighted magnetic resonance imaging revealed a mass with heterogeneous intensity and without hydrocephalus. The mass was slightly enhanced subsequent to gadolinium infusion. Using a basal interhemispheric translamina terminalis approach and a neuroendoscope, we confirmed that the tumor was located at the floor of the third ventricle and removed it. Histopathological examination confirmed the diagnosis of cavernous malformation. The postoperative course was uneventful, but the patient's short-term memory loss persisted. Despite its rarity, cavernous malformation should be suspected when a tumor is detected in the vicinity of the third ventricle floor. It is treatable through surgical resection.

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Neurologia i Neurochirurgia Polska