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Giant intracranial capillary hemangioma associated with enlarged head circumference in a newborn

Thomas Daenekindt1, Frank Weyns, Kuan Hua Kho

  • 1Department of Neurosurgery, Ziekenhuizen Oost-Limburg, Genk, University Hospitals Leuven, Belgium. thomasdaenekindt@yahoo.com

Journal of Neurosurgery. Pediatrics
|June 4, 2008
PubMed

Insights

Intracranial capillary hemangiomas are rare brain tumors. This case highlights diagnosis and surgical management of a large lesion in an infant, with discussion on conservative treatment options.

Area of Science:

  • Neurology
  • Pediatric Neurosurgery
  • Vascular Malformations

Background:

  • Intracranial capillary hemangiomas are uncommon vascular tumors.
  • Diagnosis and management strategies require careful consideration.
  • Literature review focusing on differential diagnosis and treatment approaches.

Observation:

  • A 7-week-old infant presented with isolated head enlargement.
  • Imaging revealed a large intracranial lesion in the right temporal fossa.
  • No neurological deficits were observed.

Findings:

  • Biopsy confirmed the diagnosis of intracranial capillary hemangioma.
  • Endovascular embolization followed by complete surgical resection was performed.
  • The incidence of these tumors may be underestimated.

Implications:

  • Surgical intervention was indicated due to tumor size in this case.
  • Conservative management, including follow-up and steroid therapy, may be suitable for some cases.
  • Understanding the natural history is crucial for optimal patient care.

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