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Tumefactive presentation of a supratentorial cavernous hemangioma: A report of two cases
Sandeep Mohindra1, Harsimratbir Singh Sodhi1, Swapnil Rane2
1Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Insights
Giant cavernous hemangiomas (GCH) in children can cause serious neurological issues. This study details two pediatric cases of supratentorial GCH, highlighting their presentation and diagnosis.
Area of Science:
- Neuro-oncology
- Pediatric Neurology
- Radiology
Background:
- Giant cavernous hemangiomas (GCH) are rare vascular malformations.
- Supratentorial GCH in pediatric patients is exceptionally uncommon.
- Tumefactive presentation of GCH can mimic other intracranial pathologies.
Observation:
- Two pediatric cases of supratentorial GCH were identified.
- Patients presented with symptoms of raised intracranial pressure and focal neurological deficits.
- Radiological imaging revealed characteristic findings of GCH.
Findings:
- GCH in the supratentorial compartment can lead to significant neurological compromise.
- Tumefactive GCH requires careful radiological assessment to differentiate from other lesions.
- Early recognition of GCH is crucial for timely intervention.
Implications:
- This study expands the understanding of pediatric supratentorial GCH.
- Highlights the importance of considering GCH in the differential diagnosis of pediatric brain tumors.
- Informs diagnostic and management strategies for pediatric vascular malformations.
Abstract:
This study reports two children, including a 2-month-old infant, harboring giant cavernous hemangiomas (GCH) in the supratentorial compartment, causing raised intracranial pressure and focal deficits. Relevant demographic details, clinical presentation, and radiological findings of GCH are discussed in light of tumefactive presentation. Differential diagnoses of such radiological findings are elaborated.
