Giant intraventricular and paraventricular cavernous malformations with multifocal subependymal cavernous

Suwadee Eng-Chuan1, Supika Kritsaneepaiboon2, Anukoon Kaewborisutsakul3

  • 1Department of Radiology, Faculty of Medicine, Prince of Songkla University, Hat Yai 90110, Thailand.

Insights

Giant cavernous malformations (GCMs) in the ventricles are rare in children. Characteristic MRI findings aid in diagnosing these rare intraventricular tumors.

Area of Science:

  • Neuroimaging
  • Pediatric Neurology
  • Neurosurgery

Background:

  • Giant cavernous malformations (GCMs) are uncommon, particularly in intraventricular and paraventricular locations within the brain.
  • This study focuses on the rare occurrence of GCMs in these specific pediatric brain regions.

Observation:

  • Presents two pediatric cases of intraventricular and paraventricular GCMs in infants (6 and 21 months old).
  • Includes a comprehensive literature review examining GCMs based on their location and associated imaging characteristics.

Findings:

  • Magnetic resonance imaging (MRI) reveals characteristic features of GCMs, including multicystic lesions.
  • Distinctive MRI findings like a hemosiderin ring or "bubbles-of-blood" appearance are crucial for diagnosis.
  • These imaging findings assist in differentiating GCMs from other hemorrhagic intraventricular masses.

Implications:

  • Multifocal intraventricular and/or paraventricular GCMs represent a rare entity in young children.
  • Characteristic MRI findings are essential for distinguishing GCMs from other intraventricular tumors in pediatric patients.
  • Accurate diagnosis through advanced imaging facilitates appropriate clinical management and treatment strategies.
Abstract