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A peri-trigonal giant tumefactive cavernous malformation: case report and review of literature

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Abstract

Introduction

Giant cavernous malformations (GCMs) constitute an uncommon entity in the diagnostic armamentarium of the neurosurgeon. We report a 3-year-old boy with a GCM in the peri-trigonal region and review 13 other paediatric cases previously reported in literature.

Case

A 3-year-old boy presented with right-sided hemiparesis and features of raised intracranial pressure of short duration. Computed tomography showed a large left peri-trigonal mass with a bleed. Magnetic resonance imaging showed associated perilesional edema and mass effect, rendering the lesion a tumefactive appearance. He underwent total excision of the lesion, with subsequent recovery of hemiparesis. Histopathology was reported as a cavernoma.

Discussion

The clinico-radiological presentation of GCM is discussed based on a case report and relevant cases in literature. Good surgical outcome can be expected with total microsurgical excision.

Conclusion

A giant cavernous malformation should be one of the differentials of a lesion with a tumefactive clinico-radiological presentation in children. There should be a high index of suspicion for such a diagnosis, especially when the lesion does not enhance with contrast. This is the third case report in paediatric literature describing a periventricular location of this unusual lesion.

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Disclosure

This paper has not been published before and has not been submitted for publication to any other journal in part or full. It has not been presented in any meeting/conference. The authors concur with this submission and there is no conflict of interest arising from this article. The manuscript has been prepared as per the guidelines laid down by our institute.

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Authors and Affiliations

  1. Department of Neurosurgery, Sri Sathya Sai Institute of Higher Medical Sciences, Whitefield, Bangalore, 560066, India

    Sumit Thakar, Sunil V. Furtado & A. S. Hegde

  2. Department of Pathology, Sri Sathya Sai Institute of Higher Medical Sciences, Whitefield, Bangalore, 560066, India

    Nandita Ghosal

Authors
  1. Sumit Thakar
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  2. Sunil V. Furtado
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  3. Nandita Ghosal
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  4. A. S. Hegde
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Corresponding author

Correspondence to Sumit Thakar.

Additional information

Source of support: The authors have not received any support, in the form of grant, from any source for preparation of this article. Neither do the authors nor the institute have any personal or institutional financial interest in drugs, materials, or devices described in their submissions.

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Thakar, S., Furtado, S.V., Ghosal, N. et al. A peri-trigonal giant tumefactive cavernous malformation: case report and review of literature. Childs Nerv Syst 26, 1819–1823 (2010). https://doi.org/10.1007/s00381-010-1237-4

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