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Neonatal cavernous angioma located in the basal ganglia with profuse intraoperative bleeding
Authors:T. Kon  H. Mori  K. Hasegawa  K. Nishiyama  R. Tanaka  H. Takahashi
Affiliation:(1) Department of Neurosurgery, Brain Research Institute, Niigata University, 757, Asahimachi, Niigata 951-8585, Japan;(2) Division of Pediatric Neurosurgery, Jikei University Women’s and Children’s Medical Center, Tokyo, Japan;(3) Department of Neuropathology, Brain research Institute, Niigata University, Niigata, Japan;(4) Department of Neurosurgery, Kariwa County General Hospital, 2-11-3, Kitahanda, Kashiwazaki Niigata, 945-0045, Japan
Abstract:
Case report A rare case of congenital cavernous angioma detected during pregnancy is described. The tumor was pointed out by ultrasound in a fetus at 39 weeks gestation. The male baby was delivered by cesarean section. Computed tomography and magnetic resonance imaging revealed a tumor in the left basal ganglia. Because the tumor gradually enlarged and right hemiparesis became evident, a decision was made to remove the tumor. Because of profuse intraoperative bleeding, surgical total removal was not accomplished. Histopathological specimens revealed cavernous angioma. The patient was treated postoperatively with 30.4 Gy of local irradiation. His right hemiparesis improved and the tumor gradually decreased in size. Discussion The literatures are reviewed and discussed about clinical features and management controversies of this rare tumor.
Keywords:Neonatal cavernous angioma  Basal ganglia  Irradiation
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