Appearance of a cavernous hemangioma in the cerebral cortex after a biopsy of a deeper lesion

Neurosurgery. 1993 Aug;33(2):307-9; discussion 309. doi: 10.1227/00006123-199308000-00019.


Cavernous hemangiomas are vascular malformations that can occur throughout the central nervous system. In certain patients, multiple lesions are known to occur. We present a patient with multiple cavernous hemangiomas who had a computed tomography-guided biopsy of a deep parieto-occipital lesion through a burr hole. Several passes of a biopsy needle were used. During a 5-year interval, the patient developed a new lesion directly under the burr hole on the cortical surface. The new lesion appears to have occurred from the implantation and growth of a cavernous hemangioma secondary to the biopsy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Biopsy, Needle*
  • Brain Neoplasms / pathology*
  • Brain Neoplasms / surgery
  • Cerebral Cortex / pathology*
  • Cerebral Cortex / surgery
  • Follow-Up Studies
  • Hemangioma, Cavernous / pathology*
  • Hemangioma, Cavernous / surgery
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Neoplasm Seeding*
  • Neoplasms, Second Primary / pathology*
  • Neoplasms, Second Primary / surgery
  • Reoperation
  • Tomography, X-Ray Computed
  • Trephining*