- •GCMs are rare, and because of their large size and the variation on their images, the diagnosis is challenging.
- •Prognostic factors and treatment for CM are well known.
- •The same does not apply to GCM because of the unpredictable behavior of these type of lesions.
- •An unusual case of an asymptomatic GCM is presented.
- •To our knowledge, this is the first case of an asymptomatic GCM presented in the literature, which raises the question about which the appropriate treatment is.
A case is reported of a 19-year old patient with a supratentorial giant cavernous malformation (GCM). This was an incidental finding in the context of acute head trauma. Brain computed tomography (CT) scan and magnetic resonance imaging (MRI) revealed a giant supratentorial right mass. Surgical excision was performed, and histopathology findings were consistent with a cavernous malformation (CM). The patient had a complete neurological recovery. To our knowledge, this is the first case of a GCM in an asymptomatic patient with total surgical excision.
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- Natural history of intracranial cavernous malformations.J Neurosurg. 1995; 83: 56-59
- Giant infiltrative cavernous malformation: clinical presentation, intervention, and genetic analysis: case report.Neurosurg. 2004; 55: 979-980https://doi.org/10.1227/01.NEU.0000137277.08281.48
- Giant cavernous malformations: a single center experience and literature review.J Clin Neurosci. 2018; 56: 108-113https://doi.org/10.1016/j.jocn.2018.06.042
- Giant cavernous angioma of the temporal lobe: a case report and review of the literature.Acta Radiol. 2005; 46: 310-313https://doi.org/10.1080/02841850510012698
- Giant cystic cavernoma in a child. Case report.J Neurosurg. 1984; 60: 1297-1299https://doi.org/10.3171/jns.19188.8.131.527
- Giant cavernous hemangiomas: report of three cases.Neurosurg Rev. 2007; 30 (discussion): 83-92https://doi.org/10.1007/s10143-006-0042-8
- Imaging findings of giant cavernous malformation with a focal infiltrative pattern.Pediatr Radiol. 2007; 37: 1039-1042https://doi.org/10.1007/s00247-007-0553-7
- Cavernous malformations of the central nervous system (CNS) in children: clinico-radiological features and management outcomes of 36 cases.Childs Nerv Syst. 2014; 30: 1355-1366https://doi.org/10.1007/s00381-014-2442-3
- Cavernous malformations of the brainstem in infants. Report of two cases and review of the literature.J Neurosurg. 2006; 104: 429-433https://doi.org/10.3171/ped.2006.104.6.429
- Cavernous malformations of the central nervous system in the pediatric age group.Pediatr Neurosurg. 2009; 45: 81-104https://doi.org/10.1159/000209283
- Huge cavernoma with massive intracerebral hemorrhage in a child.Turkish Neurosurg. 2007; 17: 23-26
- Hyper-vascular giant cavernous malformation in a child: a case report and review.Childs Nerv Syst. 2017; 33: 375-379https://doi.org/10.1007/s00381-016-3234-8
Published online: January 04, 2019
Accepted: December 23, 2018
Received: November 28, 2018
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