• World Neurosurg · Feb 2021

    Review Case Reports

    Hypothalamic Cavernomas: Pediatric Case Report with 8.5 Year Follow-up and Review of the Literature.

    • Gennadiy A Katsevman, Bayan Razzaq, and Cesar A Serrano.
    • Department of Neurosurgery, West Virginia University, Morgantown, West Virginia, USA. Electronic address: gkatsev@gmail.com.
    • World Neurosurg. 2021 Feb 1; 146: 6-13.

    BackgroundCavernous malformations (cavernomas) are angiographically occult vascular lesions that can present symptomatically or be discovered incidentally. Rarely, they present in the hypothalamus or in children.Case DescriptionWe describe the case of a 14-year-old male patient who presented with headaches and fever and was found to have a hypothalamic cavernoma that hemorrhaged. It was managed expectantly, with 1 rehemorrhage 21 months later, and the patient remains asymptomatic to this day aside from headaches.ConclusionsThis is to our knowledge the youngest case of a hypothalamic cavernoma to be reported and includes 8.5 years of follow-up and imaging. In addition, a literature review is performed that summarizes the 11 previously reported cases of hypothalamic cavernomas, including associated symptoms, management options, and outcomes.Copyright © 2020 Elsevier Inc. All rights reserved.

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