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Post-traumatic seizure with an unexpected finding.

Christine Brittain¹, Gautam Ambegaonkar¹

¹Department of Paediatric Neurology, Child Development Centre, Addenbrooke's Hospital, Cambridge, UK.

Archives of Disease in Childhood. Education and Practice Edition

|September 24, 2017

Summary

A prolonged seizure in a child prompted investigation into potential causes. Further evaluation revealed cerebral cavernous malformations (CCMs), suggesting a genetic link and guiding subsequent diagnostic steps.

Keywords:

accident and emergency neurology

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Area of Science:

Neurology
Pediatrics
Medical Imaging

Background:

A 5-year-old boy presented with a prolonged seizure after a minor head injury.
Initial examination revealed no acute neurological deficits or abnormal vital signs.

Observation:

Initial imaging identified parenchymal lesions in the frontal and parietal lobes.
MRI suggested possibilities including hemorrhagic cavernous malformations, metastases, or infected lesions like tuberculomas.

Findings:

The mother's medical history and MRI scans showed multiple cerebral cavernous malformations (CCMs).
This finding strongly suggested a familial or genetic basis for the child's lesions.

Implications:

Investigating a potential genetic etiology for CCMs is crucial.
Further diagnostic steps should consider the family history and the confirmed presence of CCMs.