A child dural-based occipital cavernoma with an accessory venous sinus.
Accessory venous sinus
Cavernoma
Cavernome
Cavernome dural
Cavernous angioma
Cavernous hemangioma
Cavernous malformation
Child
Dura mater
Dural cavernoma
Dure-mère
Enfant
Hémangiome caverneux
Neurochirurgie pédiatrique
Pediatric neurosurgery
Sinus veineux accessoire
Journal
Neuro-Chirurgie
ISSN: 1773-0619
Titre abrégé: Neurochirurgie
Pays: France
ID NLM: 0401057
Informations de publication
Date de publication:
Nov 2021
Nov 2021
Historique:
received:
30
10
2019
revised:
14
01
2021
accepted:
17
01
2021
pubmed:
3
2
2021
medline:
26
11
2021
entrez:
2
2
2021
Statut:
ppublish
Résumé
The diagnosis of extra-axial cavernoma and surgical decision-making can be difficult on children. 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. 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.
Sections du résumé
BACKGROUND
BACKGROUND
The diagnosis of extra-axial cavernoma and surgical decision-making can be difficult on children.
REPORTED CASE
UNASSIGNED
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
CONCLUSIONS
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.
Identifiants
pubmed: 33529695
pii: S0028-3770(21)00024-2
doi: 10.1016/j.neuchi.2021.01.014
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
618-620Informations de copyright
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