Giant, symptomatic mixed vascular malformation containing a cavernoma, developmental venous anomaly, and capillary telangiectasia in a 19-month-old infant
| Autor: | Wendy Gaztanaga, Gabriel Chamyan, Evan Luther, Shelly Wang, David J McCarthy, John Ragheb |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Pathology business.industry Arteriovenous malformation General Medicine medicine.disease New onset Lesion Mixed vascular malformation Developmental venous anomaly Capillary telangiectasia Pediatrics Perinatology and Child Health medicine Neurology (clinical) Neurosurgery medicine.symptom Embryonal neoplasm business |
| Zdroj: | Child's Nervous System. 38:1005-1009 |
| ISSN: | 1433-0350 0256-7040 |
| DOI: | 10.1007/s00381-021-05358-7 |
| Popis: | Intracranial mixed vascular malformations (MVMs) are defined as any combination of a developmental venous anomaly (DVA), cerebral cavernous malformation (CCM), capillary telangiectasia (CTG), or arteriovenous malformation (AVM) within a single, contiguous lesion. However, most MVMs described in the literature contain only 2 pathologically discrete malformations; juxtaposition of 3 or more abnormalities in a single lesion remains exceedingly rare. We present the case of a 19-month-old female with new onset focal seizures and a 4-cm right basal ganglia lesion initially believed to be an embryonal neoplasm. She subsequently underwent gross total resection (GTR) of the lesion via a transsylvian-transinsular approach. Intraoperatively, the lesion appeared to be heterogenous and highly vascular, with areas of purplish-gray friable tissue. Pathology confirmed the lesion to be a MVM containing a CCM, CTG, and a DVA. This appears to be the first reported case of such a lesion confirmed on pathology in the literature. |
| Databáze: | OpenAIRE |
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