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Child's Nervous System
Published in: Child's Nervous System 2/2017

01-02-2017 | Case Report

Hyper-vascular giant cavernous malformation in a child: a case report and review

Authors: Koji Hirata, Satoshi Ihara, Masayuki Sato, Yuji Matsumaru, Tetsuya Yamamoto

Published in: Child's Nervous System | Issue 2/2017

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Abstract

Introduction

Giant cavernous malformation (GCM) in children is a rare vascular anomaly, and its natural history is unclear. Despite their giant size, intraparenchymal GCMs are low-flow vascular malformations. Herein, we report a case of hyper-vascular intraparenchymal GCM with an AV shunt in a child.

Case

A 3-year-old boy had had an enlarged head since infancy. Magnetic resonance (MR) images on admission showed a strikingly enhanced mass lesion, 6 cm in size. A 4-vessel CAG demonstrated a hyper-vascular mass with an AV shunt. After transarterial embolization, the patient underwent total excision of the mass. The tumor bled easily, during surgery the patient lost 400 cm3 in blood. Histopathological examination confirmed the diagnosis of cavernous hemangioma.

Conclusion

The differential diagnosis of intraparenchymal, strikingly-enhanced tumors with an AV shunt include hyper-vascular GCMs. Consideration of potential for bleeding during the operation is also important.
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Metadata
Title
Hyper-vascular giant cavernous malformation in a child: a case report and review
Authors
Koji Hirata
Satoshi Ihara
Masayuki Sato
Yuji Matsumaru
Tetsuya Yamamoto
Publication date
01-02-2017
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 2/2017
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-016-3234-8

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