All issues > Volume 51(12); 2008

Case Report

Korean J Pediatr. 2008;51(12):1363-1367. Published online December 15, 2008.

Cerebellar cavernous hemangioma that presented with posterior neck myalgia

Seung-Ah SA Baek¹, Kyung-Lim KL Yoon¹, Kye-Shik KS Shim¹, Jae-Seung JS 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

Correspondence Kyung-Lim KL 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.

Keywords :Cavernous hemangioma, Cerebellum