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Hypothalamic Cavernomas: Pediatric Case Report with 8.5-Year Follow-up and Review of the Literature
Gennadiy A Katsevman1, Bayan Razzaq2, Cesar A Serrano1
1Department of Neurosurgery, West Virginia University, Morgantown, West Virginia, USA.
Background:
Cavernous malformations (cavernomas) are angiographically occult vascular lesions that can present symptomatically or be discovered incidentally. Rarely, they present in the hypothalamus or in children.
Case Description:
We describe the case of a 14-year-old male patient who presented with headaches and fever and was found to have a hypothalamic cavernoma that hemorrhaged. It was managed expectantly, with 1 rehemorrhage 21 months later, and the patient remains asymptomatic to this day aside from headaches.
Conclusions:
This is to our knowledge the youngest case of a hypothalamic cavernoma to be reported and includes 8.5 years of follow-up and imaging. In addition, a literature review is performed that summarizes the 11 previously reported cases of hypothalamic cavernomas, including associated symptoms, management options, and outcomes.
