A child dural-based occipital cavernoma with an accessory venous sinus
| Autor: | Didier Scavarda, G. Pech Gourg, A. Aulanier, N. Serratrice, M Al Falasi |
|---|---|
| Přispěvatelé: | Institut National de la Santé et de la Recherche Médicale (INSERM), Institut de Neurosciences des Systèmes (INS), Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM) |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Psychomotor regression Dura mater Veins Lesion 03 medical and health sciences 0302 clinical medicine Humans Medicine Child Sinus (anatomy) ComputingMilieux_MISCELLANEOUS business.industry [SCCO.NEUR]Cognitive science/Neuroscience Magnetic Resonance Imaging Work-up Hemangioma Cavernous medicine.anatomical_structure Child Preschool 030220 oncology & carcinogenesis Total removal Cavernous Sinus Surgery Dura Mater Neurology (clinical) Radiology medicine.symptom Presentation (obstetrics) business Complication 030217 neurology & neurosurgery |
| Zdroj: | Neurochirurgie Neurochirurgie, Elsevier Masson, 2021, 67 (6), pp.618-620. ⟨10.1016/j.neuchi.2021.01.014⟩ |
| ISSN: | 0028-3770 1773-0619 |
| DOI: | 10.1016/j.neuchi.2021.01.014⟩ |
| Popis: | Background The diagnosis of extra-axial cavernoma and surgical decision-making can be difficult on children. Reported case In this report we present the case of a 33-month-old child for whom the work up done for asthenia, anorexia and psychomotor regression reveals a well-defined occipital extra-axial lesion. A follow up MRI was performed two months later, revealing an increase in the size of the lesion associated with hemorrhagic changes. The surgical decision is performed after an arteriography; it allows the total removal of the lesion contained in a duplication of the dura mater, by placing a vascular clip on an accessory venous sinus draining the lesion, respecting the integrity of the lateral sinus. Histology confirms a cavernoma. No complication resulted from the surgical procedure. This atypical case of pediatric dural cavernoma associated with a well-defined accessory venous sinus in arteriography is to our knowledge the first description in the literature. Conclusion Extra-axial cavernomas have a misleading presentation. The management of these lesions is of twofold interests: to avoid a repercussion on the development of these children, and to obtain histological confirmation. |
| Databáze: | OpenAIRE |
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