Pediatric intraventricular cavernous hemangioma: A neurological rarity

Abstract

Abstract Introduction: Pediatric intraventricular cavernous hemangioma is a rare clinical entity. These categories of tumors in children pose a significant challenge to the treating neurosurgeon. We hereby report a case of cavernous hemangioma located in occipital horn of the lateral ventricle in a 10-year-old child supported by radiological and pathological evidence, which according to our literature search is a very rare phenomenon. Clinical Case Report: A 10-year-old male child was admitted with symptoms of raised intracranial pressure without any other clinical localizing signs. Magnetic resonance imaging (MRI) revealed an intraventricular lesion in the left occipital horn which was intensely hyperintense on T2-weighted (T2W) with contrast enhancement. He underwent gross total excision using a minimally invasive approach. Histopathology was suggestive of cavernous hemangioma. Postoperative recovery was uneventful. Conclusion: Intraventricular hemangiomas itself are very rare tumors. In published literature, till now only 28 such cases in pediatric population are reported. Although MRI provides useful clues to diagnosis, histopathological correlation is mandatory to confirm the diagnosis.