Cavernous Malformation Of Left Basal Ganglia Region In A 12-Year-Old Boy – Case Report.

Volume 3 Issue 1
Article Information

Abstract

Intro: Cerebral cavernous malformations are benign lesions composed of abnormally stretched-out, thin-walled blood vessels clustered together and filled with blood. This paper reports a case of cerebral cavernous malformation located in the left subcortical nuclei region with additional venous angioma, and reviews the literature.

Case presentation: The 12-year-old boy presented with progressive right-sided spastic paresis which occurred at the age of five. First diagnostic procedures were performed after the first appearance of the neurological symptoms. The patient was diagnosed with cavernoma. Due to progression of the right hemiparesis he was admitted to the hospital for a surgical treatment. The patient underwent a left frontotemporal craniotomy. The cavernous angioma was excised and sent for histopathological examination which confirmed the diagnosis of the cavernous angioma. The early postoperative period was complicated with right sided paresis and signs of motoric aphasia. In a few days after surgery symptoms started to withdraw except for the deep paresis of right upper limb and central paresis of the right facial nerve which turned out to be temporary. We should underline, that remaining symptoms originated not only from operation, but also occurred as a result of underlying disease.
Discussion: Cerebral cavernous malformations located in the subcortical region are particularly difficult and risky
to resect. Even careful planning and interdisciplinary approach cannot promise full recovery. Additionally, children post-operative care should always contain psychological care. This can help patients and their families overcome fear associated with disease and its treatment resulting in faster recovery.

Key words: cavernous malformation, DVA, children, surgery