Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
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Cerebellar cavernous hemangioma that presented with posterior neck myalgia

뒷목 근육통 증상을 보인 소뇌의 해면 혈관종 1예

  • Baek, Seung-Ah (Department of Pediatrics, East-West Neo Medical Center, Kyunghee University) ;
  • Yoon, Kyung-Lim (Department of Pediatrics, East-West Neo Medical Center, Kyunghee University) ;
  • Shim, Kye-Shik (Department of Pediatrics, East-West Neo Medical Center, Kyunghee University) ;
  • Bang, Jae-Seung (Department of Neurosurgery, East-West Neo Medical Center, Kyunghee University)
  • 백승아 (경희대학교 동서신의학병원 소아과학교실) ;
  • 윤경림 (경희대학교 동서신의학병원 소아과학교실) ;
  • 심계식 (경희대학교 동서신의학병원 소아과학교실) ;
  • 방재승 (경희대학교 동서신의학병원 신경외과학교실)
  • Received : 2008.10.10
  • Accepted : 2008.10.25
  • Published : 2008.12.15
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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.

해면 혈관종은 비교적 양성의 병변이며 다량의 뇌출혈을 일으키는 것은 드물어서 수술의 적응증에 대해 논란의 여지가 있다. 그러나 특히 소뇌 같은 후두와나 뇌간에서 발생한 해면 혈관종에서의 출혈은 제한된 공간으로 인해 비가역적인 뇌손상을 일으킬 수 있으며 이로 인해 사망한 경우도 보고되고 있어서 소뇌의 압박증상이 있으면 응급수술을 해야 한다. 병변으로부터 반복되는 출혈로 인해 뒷목 근육통으로 오인되었던, 소아에서는 드물게 소뇌에 생긴 해면 혈관종 1예를 보고하는 바이다.

Keywords

References

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