Brainstem cavernous malformations in pediatrics: case report and literature review

Antonio Heredia-Gutiérrez1,2, María E Carbarín-Carbarín3

  • 1Servicio de Neurocirugía Pediátrica, Hospital para el Niño Poblano, San Andrés Cholula.

Cirugia Y Cirujanos
|July 3, 2025
PubMed

Insights

Cavernous malformations in the brainstem are rare in children. Surgical resection of a symptomatic brainstem cavernous malformation in a pediatric patient led to complete symptom resolution, highlighting surgery as a viable treatment.

Area of Science:

  • Neurology
  • Neurosurgery
  • Pediatrics

Background:

  • Cavernous malformations (CMs) affect 0.4%-0.8% of the population.
  • Symptoms include seizures, headaches, and neurological deficits.
  • Brainstem CMs in pediatric patients are infrequent.

Purpose of the Study:

  • To report a case of a pediatric patient with a brainstem cavernous malformation.
  • To discuss the management and outcomes of brainstem CMs in children.

Main Methods:

  • Case presentation of a 10-year-old girl with neurological deficits.
  • Diagnostic imaging using magnetic resonance imaging (MRI) of the brain.
  • Surgical resection of the pontobulbar lesion.

Main Results:

  • The patient presented with headache, right hemiparesis, ataxia, and cranial nerve deficits (VI, VII, IX, X).
  • MRI revealed a left pontobulbar lesion consistent with a cavernous malformation.
  • One year post-surgery, the patient experienced complete resolution of symptoms.

Conclusions:

  • Surgical resection is recommended for symptomatic brainstem cavernous malformations in pediatric patients.
  • Neurological surveillance is appropriate for asymptomatic lesions.
  • This case underscores the efficacy of surgical intervention for pediatric brainstem CMs.