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Subtentorial diverticulum of the third ventricle associated with a mural cavernous angioma in a child
Z A Jamjoom1, S Abdul-Aziz, A H Jamjoom
1Division of Neurosurgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Insights
This study reports the first diagnosed and treated case of a third ventricle diverticulum with a cavernous angioma, a rare brain malformation in a child.
Area of Science:
- Neurology
- Pediatric Neurosurgery
- Neuroimaging
Background:
- Third ventricle diverticula are rare developmental anomalies.
- Cavernous angiomas are vascular malformations that can occur in the brain.
- Association between these two entities is exceptionally rare.
Observation:
- A 6-year-old girl presented with developmental delay and obstructive hydrocephalus.
- A large subtentorial supracollicular diverticulum of the third ventricle was identified.
- A cavernous angioma was found within the wall of the diverticulum.
Findings:
- This case represents the first documented instance of this specific association.
- The combined lesion was successfully diagnosed and treated.
- Surgical intervention addressed both the diverticulum and the associated vascular malformation.
Implications:
- Highlights the importance of thorough neuroimaging in pediatric developmental delay.
- Suggests a potential link or co-occurrence of these rare neurological lesions.
- Provides a successful treatment model for this unique presentation.
Abstract:
The authors describe a case of a large subtentorial supracollicular diverticulum of the third ventricle associated with a cavernous angioma in its wall in a 6-year-old girl who presented with developmental delay and obstructive hydrocephalus. This is the first case in which such association has been diagnosed and successfully treated. The literature is reviewed, and the possible relationship between these two rare lesions is discussed.