Korean J Pediatr.  2008 Dec;51(12):1363-1367. 10.3345/kjp.2008.51.12.1363.

Cerebellar cavernous hemangioma that presented with posterior neck myalgia

• Baek SA
• Yoon KL
• Shim KS
• Bang JS

• KMID: 1494531
• DOI: http://doi.org/10.3345/kjp.2008.51.12.1363

Abstract

Cavernous hemangioma can occur in the entire brain but rarely in cerebellum, especially in the pediatric age group. Headache, seizure, gait disturbance, recurrent bleeding may be seen. This tumor is a relatively benign condition but if the lesion located in the posterior fossa or the brain stem bleeds, irreversible brain damage may occur because of its restrictive space. Moreover, it must be differentiated from malignant tumors. We report 12.6 year-old boy who represented posterior neck myalgia as the presenting symptom. The pain continued for about a month despite analgesic medications. Brain MRI showed intracranial hemorrhage in the left cerebellum (4.5 cm) representing repeated hemorrhages at different times and originated from the cavernous hemangioma accompanied by mild hydrocephalus. The lesion was surgically removed successfully and the cavernous hemangioma was confirmed by pathologic findings. After the follow-up period of 14 months, he is in good condition without any complications.

Keyword

Cavernous hemangioma; Cerebellum

MeSH Terms

Brain
Brain Stem
Caves
Cerebellum
Follow-Up Studies
Gait
Headache
Hemangioma, Cavernous
Hemorrhage
Humans
Hydrocephalus
Intracranial Hemorrhages
Neck
Seizures