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Giant cerebellar cavernous malformation in children: A case report and literature review
Olim Zaribovich Akramov1, Lilia Aleksandrovna Nazarova1, Fuat Mukadasavoch Kurbanov1
1Department of Neurosurgery, National Children's Medical Center, Ministry of Healthcare of Republic of Uzbekistan, Tashkent, Uzbekistan.
Insights
Giant cerebellar cavernomas in children are rare but treatable. Complete surgical resection offers favorable outcomes and full neurological recovery, as seen in an infant case study.
Area of Science:
- Pediatric Neurosurgery
- Cerebrovascular Malformations
Background:
- Giant cerebellar cavernomas are rare pediatric brain lesions.
- They require differentiation from hemorrhagic cerebellar tumors.
- Diagnosis and treatment present significant challenges.
Observation:
- An 8-month-old infant presented with a giant cerebellar cavernoma causing obstructive hydrocephalus and neuropsychiatric symptoms.
- The infant underwent successful surgical resection via paramedian craniotomy and suboccipital approach.
- Post-operative observation over nine months showed significant neurological improvement, including enhanced mobility.
Findings:
- Complete surgical resection of giant cerebellar cavernomas in children can lead to favorable outcomes.
- Early diagnosis and intervention are crucial for neurological recovery.
- Literature review identified 11 pediatric cases, highlighting clinical features, treatment strategies, and outcomes.
Implications:
- This case underscores the importance of considering giant cerebellar cavernomas in pediatric differential diagnoses.
- Surgical expertise is key to achieving complete resection and positive neurological recovery.
- Further research into pediatric cavernoma management can optimize treatment protocols.
Abstract:
Giant cerebellar cavernomas in children are rare and must be differentiated from hemorrhagic cerebellar tumors. The diagnosis and treatment of giant cerebellar cavernomas is challenging, but complete surgical resection can lead to favorable outcomes and complete neurological recovery in most cases. We present a case of eight months old baby who was diagnosed with a giant cavernoma resulting in secondary obstructive hydrocephalus with neuropsychiatric presentations. The patient underwent a paramedian craniotomy surgery with a suboccipital approach and complete surgical resection of the cavernoma was done. Over nine months of observation, the child showed improvement in their ability to walk and fully recovered from a neurological perspective. We also conducted a literature review to identify eleven cases of giant cerebellar cavernomas in children, including our case. The data were analyzed to determine the clinical features, treatment, and outcomes of giant cerebellar cavernomas in children.
