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Cerebellar cavernous hemangioma that presented with posterior neck myalgia

Korean Journal of Pediatrics 2008;51(12):1363-1367.
Published online December 15, 2008.
Cerebellar cavernous hemangioma that presented with posterior neck myalgia
Seung-Ah Baek1, Kyung-Lim Yoon1, Kye-Shik Shim1, Jae-Seung Bang2
1Departments of Pediatrics, East-West Neo Medical Center, Kyunghee University, Seoul, Korea
2Departments of Neurosurgery, East-West Neo Medical Center, Kyunghee University, Seoul, Korea
뒷목 근육통 증상을 보인 소뇌의 해면 혈관종 1예
백승아1, 윤경림1, 심계식1, 방재승2
1경희대학교 동서신의학병원 소아과학교실
2경희대학교 동서신의학병원 신경외과학교실
Correspondence: 
Kyung-Lim Yoon, Email: ykr3215@khnmc.or.kr
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.
Key Words: Cavernous hemangioma, Cerebellum


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