Surgical management of a hemorrhagic pediatric brainstem cavernous malformation – A case report

Vascular malformations of the central nervous system such as cavernous malformations and arteriovenous malformations are rare lesions with controversial management recommendations in the pediatric population. We report a case of a 3-year-old male who presented with multiple discrete episodes of foca...

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Bibliographic Details
Main Authors: Deborah X. Xie, Matthew M. Dedmon, MD, PhD, Brendan P. O'Connell, MD, Le Lucy He, MD, John C. Wellons, III, MD, MSPH, Alejandro Rivas, MD
Format: Article
Language:English
Published: Elsevier 2017-06-01
Series:Otolaryngology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2468548817300334
Description
Summary:Vascular malformations of the central nervous system such as cavernous malformations and arteriovenous malformations are rare lesions with controversial management recommendations in the pediatric population. We report a case of a 3-year-old male who presented with multiple discrete episodes of focal neurological deficits including ataxia and an abducens nerve palsy. Imaging revealed a 1.5 cm hemorrhagic mass located in the pons that was concerning for a cavernous malformation. This lesion was completely excised via a combined transpetrosal approach, and the patient had complete resolution of neurologic symptoms at three-month follow-up.
ISSN:2468-5488