Source:http://linkedlifedata.com/resource/pubmed/id/12557019
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
2003-1-30
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pubmed:abstractText |
We report a unique case of papillary endothelial hyperplasia (PEH) presenting as a subcortical mass lesion intimately associated with focal cortical dysplasia (CD) and consider a possible causal relationship. A 6-year old girl presented with a 6-month history of a painless, frontoparietal skull "bump" associated with slowly progressive localised bossing followed by a 4-month history of absence attacks. Magnetic resonance imaging (MRI) revealed an adjacent parietal enhancing mass lesion beneath abnormal appearing cortex. A haemorrhagic vascular lesion with histology consistent with that of papillary endothelial hyperplasia was completely resected. Biopsies of the adjacent cortex showed CD. The patient has been symptom free post-surgery for 12 months with no MRI evidence of recurrence. Intracranial PEH is very rare and, in contrast to extracranial examples, half of the reported cases lacked a demonstrable vascular origin. Given that CD may be associated with intrinsic capillary hypervascularity, vascular malformations and tumours (e.g. dysembryoplastic neuroepithelial tumour) of a potential hypervascular or haemorrhagic nature, the association between PEH and CD may not be incidental. The abnormal vascularity not uncommonly found in CD may predispose to haemorrhage and/or thrombosis, the organisation of which may rarely be complicated by PEH. Alternatively, PEH and CD may both represent local, independent complications of a pre-existing vascular event or trauma.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0001-6322
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
105
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
303-8
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pubmed:dateRevised |
2007-11-9
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pubmed:meshHeading |
pubmed-meshheading:12557019-Brain Diseases,
pubmed-meshheading:12557019-Cerebral Cortex,
pubmed-meshheading:12557019-Endothelium, Vascular,
pubmed-meshheading:12557019-Female,
pubmed-meshheading:12557019-Humans,
pubmed-meshheading:12557019-Hyperplasia,
pubmed-meshheading:12557019-Magnetic Resonance Imaging
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pubmed:year |
2003
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pubmed:articleTitle |
Papillary endothelial hyperplasia associated with cortical dysplasia.
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pubmed:affiliation |
Department of Neuropathology, Walton Centre for Neurology and Neurosurgery, Lower Lane, Liverpool L9 7LJ, UK. duplessi-d@wcnn-tr.nwest.nhs.uk
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pubmed:publicationType |
Journal Article,
Case Reports
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