Document Detail

Cerebral cavernous hemangiomas in childhood. Clinical presentation and therapeutic considerations.
MedLine Citation:
PMID:  9403199     Owner:  NLM     Status:  MEDLINE    
Cerebral cavernous hemangiomas (CCH) are relatively rare vascular hamartomas. Since the introduction of MRI there has been an increase in the number of case reports of CCH in the medical literature. CCH are often asymptomatic; they may, however, cause epilepsy or neurological deficits due to their space-occupying effects or hemorrhagic sequelae. The tendency of CCH to bleed has been well recognized, though gross hemorrhage is infrequent owing to the relatively low blood pressure and small blood flow in CCH. MRI findings of a CCH are characteristic and can differentiate the lesions from other vascular abnormalities. To date, there has been no consensus on indications for surgical intervention. Three cases are presented, which together demonstrate by their different presentation, clinical course and MRI findings that each patient with a CCH requires an individually tailored management. Presentation, clinical course and accessibility for operation are the factors that determine whether a surgical or a conservative approach should be adopted.
L M Smit; F J Halbertsma
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery     Volume:  13     ISSN:  0256-7040     ISO Abbreviation:  Childs Nerv Syst     Publication Date:  1997 Oct 
Date Detail:
Created Date:  1998-02-04     Completed Date:  1998-02-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8503227     Medline TA:  Childs Nerv Syst     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  522-5     Citation Subset:  IM    
Department of Child Neurology, Free University Academic Hospital, Amsterdam, The Netherlands.
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MeSH Terms
Brain / pathology
Brain Neoplasms / diagnosis,  pathology,  surgery*
Child, Preschool
Hemangioma, Cavernous / diagnosis,  pathology,  surgery*
Magnetic Resonance Imaging
Treatment Outcome

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