Document Detail


Intracranial infantile hemangiomas associated with PHACE syndrome.
MedLine Citation:
PMID:  17213418     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND PURPOSE: Head and neck infantile hemangiomas are common lesions that are rarely observed in an intracranial location. We report 4 patients with orbital infantile hemangiomas and ipsilateral enhancing intracranial lesions, presumed to be infantile hemangiomas. METHODS: Imaging studies and medical records of 4 infants with orbital hemangiomas and enhancing intracranial lesions were reviewed. The intracranial lesions were evaluated in terms of their location, signal intensity characteristics, enhancement pattern, and degree of involution following treatment. Additional findings associated with PHACE syndrome were also noted and a literature review of intracranial infantile hemangiomas and PHACE syndrome was also performed. RESULTS: The intracranial masses were primarily in or adjacent to the internal auditory canal and demonstrated imaging characteristics and treatment response similar to the ipsilateral orbital lesions. Ipsilateral internal carotid artery hypoplasia, ipsilateral cerebellar hemisphere hypoplasia, and/or other head and neck hemangiomas were present in all patients. CONCLUSION: These cases collectively support the diagnosis of intracranial infantile hemangiomas and suggest a unique radiographic association between PHACE syndrome and intracranial infantile hemangiomas.
Authors:
C D Judd; P R Chapman; B Koch; C J Shea
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  AJNR. American journal of neuroradiology     Volume:  28     ISSN:  0195-6108     ISO Abbreviation:  AJNR Am J Neuroradiol     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2007-01-10     Completed Date:  2007-03-14     Revised Date:  2008-02-14    
Medline Journal Info:
Nlm Unique ID:  8003708     Medline TA:  AJNR Am J Neuroradiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  25-9     Citation Subset:  IM    
Affiliation:
Inland Imaging, Spokane, Washington 99202, USA.
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MeSH Terms
Descriptor/Qualifier:
Administration, Oral
Brain Neoplasms / diagnosis*,  drug therapy
Carotid Artery, Internal / abnormalities*
Cerebellopontine Angle / pathology
Cerebellum / abnormalities,  pathology
Dominance, Cerebral / physiology
Facial Neoplasms / diagnosis*,  drug therapy
Female
Head and Neck Neoplasms / diagnosis*,  drug therapy
Hemangioma / diagnosis*,  drug therapy
Humans
Infant
Infant, Newborn
Injections, Intralesional
Magnetic Resonance Imaging*
Male
Orbital Neoplasms / diagnosis*,  drug therapy
Prednisolone / administration & dosage
Prednisone / administration & dosage
Syndrome
Tomography, X-Ray Computed*
Triamcinolone / administration & dosage
Chemical
Reg. No./Substance:
124-94-7/Triamcinolone; 50-24-8/Prednisolone; 53-03-2/Prednisone

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


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