Cryptic vascular malformations: controversies in terminology, diagnosis, pathophysiology, and treatment.

نویسنده

  • W P Dillon
چکیده

Cryptic vascular malformations have intrigued clinicians since the first report of “calcifying epileptogenic hemangiomas” by Penfield and Ward appeared in 1948 (2). Despite many detailed radiologic and pathologic studies on the subject, controversy still exists regarding their underlying pathophysiology, terminology, and treatment. Are cryptic vascular malformations a heterogeneous group of malformations that appear identical on magnetic resonance (MR) images, or are they the manifestation of a common pathophysiological process resulting in a spectrum of pathologic findings? How do cryptic vascular malformations develop and enlarge over time? What is the proper treatment of symptomatic and asymptomatic lesions: surgery, radiation therapy, or observation? In this report, I will address these controversies, relying on the literature as well as on my own observations of these fascinating lesions.

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عنوان ژورنال:
  • AJNR. American journal of neuroradiology

دوره 18 10  شماره 

صفحات  -

تاریخ انتشار 1997