Document Detail


Cavernous malformations of the brainstem in infants. Report of two cases and review of the literature.
MedLine Citation:
PMID:  16776381     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cavernous malformations of the brainstem (CMB) occur less commonly in children than in adults. Their appearance is even rarer in infants, with only five cases reported in the literature. The authors report two additional cases in which giant CMBs were diagnosed in two infants, one when the patient was 1 month old and the other when the patient was 15 months old. A median suboccipital approach in one patient and a pterional-orbitozygomatic approach in the other were used to obtain complete resection of the malformations. Excellent outcomes were achieved in both children. A review of the literature is also presented. It seems that CMBs in infants usually follow a progressive course of growth and associated neurological deterioration. Patients with symptomatic lesions abutting the pial surface should undergo surgical treatment with the goal of cure. An increase may be expected in the number of CMBs diagnosed in children as a result of regular screening of relatives with the familial form of the disease. Nevertheless, due to the small confines of the brainstem, incidental or asymptomatic CMB should still be extraordinary. In the case of such a rare occurrence, conservative treatment should be advocated.
Authors:
Bruno P Braga; Leodante B Costa; Sergio Lemos; Marcelo D Vilela
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  104     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-06-16     Completed Date:  2006-07-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  429-33     Citation Subset:  AIM; IM    
Affiliation:
Benjamin Guimaraes Foundation and Affiliated Hospitals, Belo Horizonte, Minas Gerais, Brazil.
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MeSH Terms
Descriptor/Qualifier:
Brain Stem / abnormalities*,  blood supply*
Central Nervous System Vascular Malformations / diagnosis*,  surgery*
Female
Humans
Infant
Infant, Newborn
Male

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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