Angiomas and Telangiectasia
Mark T. Kinirons, Harold Ellis in French’s Index of Differential Diagnosis an A–Z, 2016
An angioma is a proliferation of blood vessels and occurs as a developmental or an acquired vascular abnormality. Telangiectasia (Fig. A.17) is the term applied to skin lesions composed of a network of fine visible blood vessels in the skin; it may arise in a number of congenital and acquired disorders.
The skin and subcutaneous tissues
Kevin G Burnand, John Black, Steven A Corbett, William EG Thomas, Norman L Browse in Browse’s Introduction to the Symptoms & Signs of Surgical Disease, 2014
Age They occur at all ages, but are not common in children. Duration They usually grow slowly for months or years before being noticed. They rarely regress. Symptoms Most patients present because they have noticed a lump and want to know what it is. The lump may be unsightly or interfere with movement, especially if it becomes pedunculated or very large (Fig. 4.59). Multiplicity Patients often have many lipomas, or have had others excised in the past. Multiple contiguous lipomas cause enlargement and distortion of the subcutaneous tissues. This condition is called lipomatosis. It usually occurs in the buttocks and sometimes in the neck. Multiple lipomatosis (Dercum’s disease) is a condition in which the limbs and sometimes the trunk are covered with lipomas of all shapes and sizes. These can be painful and may contain angiomatous elements (angiolipomas).
An autoethnographic introduction
Viv Martin, Karen Forbes in Developing a Narrative Approach to Healthcare Research, 2018
In the days leading up to the surgery, I knew that in medical terms my chances of survival were slim. There was a strong possibility of dying during the operation, but without it I would certainly have died. I can still find no words to express the fear and despair I felt as I looked at Tony and the children with the knowledge that I was likely to be separated from their lives. And yet, just before the operation, while fully experiencing the knowledge that I could die, I came increasingly and paradoxically to know that I would live. This was an intuitive knowledge beyond words, a sensing on the edge of my awareness. It felt deeply spiritual and transcended everything that was going on around me. This ‘still small voice’ was within me and beyond me. It was a certainty unlike anything I have ever known that, as events escalated, I was heading in the right direction and that I would live. Surgery would be done stereotactically; this meant having a steel frame screwed into my skull that day before the operation. The frame, together with the scanned images, allowed the surgeon to negotiate, to the millimetre, the path through my brain and to attempt the precise excision of the swelling. The angioma was successfully removed and to the surprise of many, including some hospital staff, I made what was described as a remarkable recovery. I remain with a left-side disability: perpetual tingling, pain and impaired sensation on that side. However, my level of disability is considerably less than expected, and I am ‘lucky’ to be alive. Two days before my surgery I underwent a procedure that somehow seemed to sum up and encapsulate the complex and paradoxical nature of the whole experience. The test, known as a Wada Test, is to determine which side of the brain is dominant for speech and memory. In right-handed people, the left hemisphere is dominant, whereas in left-handed people, as I was at the time, either side can be dominant for these functions. This information would enable the surgeon to work out the path through my brain that least threatened these functions. After electroencephalography (EEG) wires were attached to my head and connected to a machine, a barbiturate drug, sodium amytal, was injected into the femoral artery, and then directed into the cerebral arteries, shutting down each side of the brain in turn. What I experienced was something that might be loosely called an ‘altered state of consciousness’. What it actually felt like was being very pleasantly drunk. When I came to write about the experience later, I realised just how full of paradox and contradiction it had been:
Acute Transient Oculomotor Nerve Palsy from Presumed Cavernous Angioma in an Infant
Published in Neuro-Ophthalmology, 2018
Sonya T. Blizzard, Megan E. Collins, Neil R. Miller
Cavernous angiomas of the cranial nerves are extremely rare, and those of the oculomotor (third) cranial nerve are rarer still, with no previous cases having been reported in the literature. We report herein the first case of a presumed cavernous angioma involving the subarachnoid portion of the left third nerve presenting as an acute left third nerve palsy in an infant. The child was followed without intervention and the palsy completely resolved. Given the poor functional results with attempted surgical excision and the potential for spontaneous improvement in oculomotor nerve function, it is reasonable to follow patients with these lesions without intervention.
Treatment of a tufted angioma with intense pulsed light
Published in Journal of Dermatological Treatment, 2007
Cheng‐Sheng Chiu, Li‐Cheng Yang, Hong‐Shang Hong, Yue‐Zon Kuan
Tufted angioma is a rare cutaneous angiomatous proliferation named because of its characteristic histologic pattern of grouped dermal capillary tufts. Lesions usually begin in infancy or early childhood but rarely are congenital. Clinical manifestations are dull red coalescent papules and plaques, most commonly located on the neck, shoulders, and upper back, and can sometimes be tender. Although transformation to malignancy has not been described, tufted angiomas do not tend to regress. Effective treatments reported in the literature are scarce. We report an adult case of tufted angioma, with unusual presentation as annular plaques, which was alleviated after treatment with intense pulsed light in terms of both cosmetics and discomfort.
Cavernous Hemangioma: A Rare Cause for Secondary Parkinsonism: A Case Report
Published in International Journal of Neuroscience, 2009
Recep Alp, Selen İlhan Alp, Hikmet Üre
A 72-year-old female was admitted to our outpatient clinic with the complaints of slowed movements and sudden speeding up of her walk. She was identified to have cavernous angioma with left basal ganglion localization. The patient did not demonstrate a levodopa response and refused to have surgical treatment. The cause underlying this clinical presentation was identified as the chronic pressure brought forward by the cavernous hemangioma. We present this patient as a case report, because cavernous angioma with basal ganglia localization is an unusual cause of secondary parkinsonism.