RESUMEN
Diffuse neonatal hemangiomatosis presents with multiple, progressive, rapidly growing cutaneous hemangiomas associated with widespread visceral hemangiomas in the liver, lungs, gastrointestinal tract, brain, and meninges. Described here is a case of diffuse neonatal hemangiomatosis with predominant central nervous system involvement. The early appearance of central nervous system lesions on imaging can overlap with that of cavernous malformations, confounding diagnosis; however, rapid growth, response to steroids, cystic appearance with sedimentation levels of the mature lesions, and involvement of other visceral organs can help confirm the diagnosis.
Asunto(s)
Angioma Venoso del Sistema Nervioso Central/diagnóstico , Hemangioma Cavernoso del Sistema Nervioso Central/diagnóstico , Neoplasias Primarias Múltiples/diagnóstico , Angioma Venoso del Sistema Nervioso Central/tratamiento farmacológico , Angioma Venoso del Sistema Nervioso Central/patología , Dexametasona/uso terapéutico , Diagnóstico Diferencial , Progresión de la Enfermedad , Femenino , Glucocorticoides/uso terapéutico , Hemangioma Cavernoso del Sistema Nervioso Central/patología , Humanos , Lactante , Imagen por Resonancia Magnética , Neoplasias Primarias Múltiples/patología , Neoplasias Cutáneas/diagnóstico , Resultado del TratamientoRESUMEN
Developmental venous anomalies (DVAs) are usually asymptomatic. We report a case of DVA thrombosis with recurrent tiny frontal hematoma in a 24-year-old man. The contribution of T2-GRE and SWAN sequences are discussed. Follow-up attested complete recanalization after anticoagulation.
Asunto(s)
Angioma Venoso del Sistema Nervioso Central/diagnóstico por imagen , Trombosis/diagnóstico por imagen , Anticoagulantes/uso terapéutico , Angioma Venoso del Sistema Nervioso Central/complicaciones , Angioma Venoso del Sistema Nervioso Central/tratamiento farmacológico , Estudios de Seguimiento , Hematoma/complicaciones , Hematoma/diagnóstico por imagen , Hematoma/tratamiento farmacológico , Humanos , Masculino , Trombosis/complicaciones , Trombosis/tratamiento farmacológico , Adulto JovenRESUMEN
A newborn girl with severe diffuse neonatal haemangiomatosis is described. She was treated with high dose systemic corticosteroids and high dose interferon-alpha-2a, but with fatal outcome. A review of the current literature is presented.