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Child's Nervous System

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01-12-2010 | Case Report

A peri-trigonal giant tumefactive cavernous malformation: case report and review of literature

Authors: Sumit Thakar, Sunil V. Furtado, Nandita Ghosal, A. S. Hegde

Published in: Child's Nervous System | Issue 12/2010

Abstract

Introduction

Giant cavernous malformations (GCMs) constitute an uncommon entity in the diagnostic armamentarium of the neurosurgeon. We report a 3-year-old boy with a GCM in the peri-trigonal region and review 13 other paediatric cases previously reported in literature.

Case

A 3-year-old boy presented with right-sided hemiparesis and features of raised intracranial pressure of short duration. Computed tomography showed a large left peri-trigonal mass with a bleed. Magnetic resonance imaging showed associated perilesional edema and mass effect, rendering the lesion a tumefactive appearance. He underwent total excision of the lesion, with subsequent recovery of hemiparesis. Histopathology was reported as a cavernoma.

Discussion

The clinico-radiological presentation of GCM is discussed based on a case report and relevant cases in literature. Good surgical outcome can be expected with total microsurgical excision.

Conclusion

A giant cavernous malformation should be one of the differentials of a lesion with a tumefactive clinico-radiological presentation in children. There should be a high index of suspicion for such a diagnosis, especially when the lesion does not enhance with contrast. This is the third case report in paediatric literature describing a periventricular location of this unusual lesion.

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Title: A peri-trigonal giant tumefactive cavernous malformation: case report and review of literature
Authors: Sumit Thakar
Sunil V. Furtado
Nandita Ghosal
A. S. Hegde
Publication date: 01-12-2010
Publisher: Springer-Verlag
Published in: Child's Nervous System / Issue 12/2010
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-010-1237-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A peri-trigonal giant tumefactive cavernous malformation: case report and review of literature

Abstract

Introduction

Case

Discussion

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Case

Discussion

Conclusion

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