A diagnostic dilemma of intracranial pathology: coincidence or the result of cranial trauma?

Cartwright, Georgina; Bailey, Beau M.; Lane, Robert; Messiha, Ashraf

doi:10.1136/bcr.07.2010.3167

Cited by 2 publications

(2 citation statements)

References 7 publications

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“…Cartwright et al reported the only case of a posttraumatic hemorrhage in an intracerebral CM that was confirmed on MRI. 6 In that report, a 21-year-old man who was assaulted and suffered facial trauma was later found to have acute hemorrhage within a frontal lobe CM.…”

Section: Discussionmentioning

confidence: 99%

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Association between trauma and acute hemorrhage of cavernous malformations in children: report of 3 cases

Fanous

Jowdy

Lipinski

et al. 2016

PED

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OBJECTIVE Cavernous hemangiomas are benign congenital vascular abnormalities. Intracerebral cavernous hemangiomas have an appreciable risk of spontaneous hemorrhage. Little is known as to whether head trauma increases the risk of bleeding for these lesions. In this study, the authors present a case series of 3 patients with posttraumatic nonspontaneous hemorrhage of intracerebral cavernous malformations (CMs). For the first time, to the authors' knowledge, they propose that trauma might constitute a risk factor for acute hemorrhage in intracerebral cavernomas. METHODS The authors reviewed the charts of all patients with a new diagnosis of intracerebral cavernoma at their pediatric hospital between 2010 and 2014. Patients with a history of head trauma prior to presentation were subsequently studied to identify features common to these posttraumatic, hemorrhage-prone lesions. RESULTS A history of head trauma was identified in 3 of 19 cases. These 3 patients presented with seizures and/or headaches and were found to have acute hemorrhage within a cavernous hemangioma. None of these patients had any history of abnormal neurological symptoms. All 3 abnormal vascular lesions had associated developmental venous anomalies (DVAs). The 3 patients underwent resection of their respective vascular abnormalities, and the diagnosis of cavernous hemangioma was confirmed with postsurgical tissue pathology. All 3 patients had complete resolution of symptoms following complete excision of their lesions. CONCLUSIONS Trauma may represent a risk factor for acute hemorrhage in patients with CMs. The presence of associated DVAs may represent a risk factor for posttraumatic hemorrhage of cavernomas. Excision should be considered in such cases, if feasible.

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Section: Discussionmentioning

confidence: 99%

“…3,4,8,10,14,23 On the other hand, reports of nonspontaneous posttraumatic hemorrhage of CM are scarce. 5,6 We report a series of 3 patients who presented to our institution with posttraumatic nonspontaneous CM hemorrhage. We present details of the clinical course for each patient and describe certain features common to all 3 cases.…”

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confidence: 99%