A child dural-based occipital cavernoma with an accessory venous sinus.
Neurochirurgie
; 67(6): 618-620, 2021 Nov.
Article
en En
| MEDLINE
| ID: mdl-33529695
ABSTRACT
BACKGROUND:
The diagnosis of extra-axial cavernoma and surgical decision-making can be difficult on children. REPORTED CASE In this report we present the case of a 33-month-old child for whom the work up done for asthenia, anorexia and psychomotor regression reveals a well-defined occipital extra-axial lesion. A follow up MRI was performed two months later, revealing an increase in the size of the lesion associated with hemorrhagic changes. The surgical decision is performed after an arteriography; it allows the total removal of the lesion contained in a duplication of the dura mater, by placing a vascular clip on an accessory venous sinus draining the lesion, respecting the integrity of the lateral sinus. Histology confirms a cavernoma. No complication resulted from the surgical procedure. This atypical case of pediatric dural cavernoma associated with a well-defined accessory venous sinus in arteriography is to our knowledge the first description in the literature.CONCLUSION:
Extra-axial cavernomas have a misleading presentation. The management of these lesions is of twofold interests to avoid a repercussion on the development of these children, and to obtain histological confirmation.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Seno Cavernoso
/
Hemangioma Cavernoso
Tipo de estudio:
Prognostic_studies
Límite:
Child
/
Child, preschool
/
Humans
Idioma:
En
Revista:
Neurochirurgie
Año:
2021
Tipo del documento:
Article