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Hyper-vascular giant cavernous malformation in a child: a case report and review

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Abstract

Introduction

Giant cavernous malformation (GCM) in children is a rare vascular anomaly, and its natural history is unclear. Despite their giant size, intraparenchymal GCMs are low-flow vascular malformations. Herein, we report a case of hyper-vascular intraparenchymal GCM with an AV shunt in a child.

Case

A 3-year-old boy had had an enlarged head since infancy. Magnetic resonance (MR) images on admission showed a strikingly enhanced mass lesion, 6 cm in size. A 4-vessel CAG demonstrated a hyper-vascular mass with an AV shunt. After transarterial embolization, the patient underwent total excision of the mass. The tumor bled easily, during surgery the patient lost 400 cm3 in blood. Histopathological examination confirmed the diagnosis of cavernous hemangioma.

Conclusion

The differential diagnosis of intraparenchymal, strikingly-enhanced tumors with an AV shunt include hyper-vascular GCMs. Consideration of potential for bleeding during the operation is also important.

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Authors and Affiliations

  1. Department of Neurosurgery, Tokyo Metropolitan Children’s Medical Center, 2-8-29 Musahidai, Fuchu, Tokyo, 183-8561, Japan

    Koji Hirata & Satoshi Ihara

  2. Department of Neurosurgery, Toranomon Hospital, Tokyo, Japan

    Masayuki Sato & Yuji Matsumaru

  3. Department of Neurosurgery, University of Tsukuba Hospital, Ibaraki, Japan

    Tetsuya Yamamoto

Authors
  1. Koji Hirata
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  2. Satoshi Ihara
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  3. Masayuki Sato
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  4. Yuji Matsumaru
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  5. Tetsuya Yamamoto
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Corresponding author

Correspondence to Koji Hirata.

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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. The authors report no conflict of interest concerning the materials or methods used in this study or the findingsspecified in this paper.

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Hirata, K., Ihara, S., Sato, M. et al. Hyper-vascular giant cavernous malformation in a child: a case report and review. Childs Nerv Syst 33, 375–379 (2017). https://doi.org/10.1007/s00381-016-3234-8

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  • DOI: https://doi.org/10.1007/s00381-016-3234-8

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