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Fatal giant pediatric intracranial cavernous angioma

Funda Corapçioğlu1, Gür Akansel, Erdem Gönüllü

  • 1Department of Pediatrics, Kocaeli University Faculty of Medicine, Kocaeli, Turkey.

The Turkish Journal of Pediatrics
|March 28, 2006
PubMed

Insights

A rare pediatric brain tumor, cavernous angioma, can cause sudden, fatal hemorrhage. Early detection via imaging and prompt surgical removal are crucial for better outcomes in children.

Area of Science:

  • Neurology
  • Pediatric Neurosurgery
  • Vascular Malformations

Background:

  • Cavernous angiomas are benign vascular lesions in the central nervous system.
  • Symptoms often arise from acute hemorrhage, causing increased intracranial pressure or altered consciousness.

Observation:

  • A previously healthy four-year-old girl presented with sudden loss of consciousness, vomiting, and seizures.
  • CT revealed a large, hyperdense intraaxial lesion in the left frontoparietal region with surrounding edema and ventricular compression.
  • Despite surgical excision, the patient's Glasgow Coma Score (GCS) did not improve, leading to a diagnosis of brain death.

Findings:

  • Pathologic examination confirmed the lesion as a cavernous hemangioma.
  • This case highlights the potential for rapid and fatal hemorrhage from cavernous angiomas in pediatric patients.

Implications:

  • Cavernous angiomas in children can have a devastatingly rapid clinical course.
  • Early diagnosis using CT or MRI and prompt surgical intervention are essential for potentially improving outcomes.

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