Unilateral facial palsy in an infant: an unusual presentation of familial multiple cerebral cavernous malformation.
Affiliation
Department of Neurosurgery, Beaumont Hospital, Dublin, Ireland.Issue Date
2012MeSH
DexamethasoneFacial Paralysis
Glucocorticoids
Hemangioma, Cavernous, Central Nervous System
Humans
Infant
Intracranial Hemorrhages
Magnetic Resonance Imaging
Male
Tomography, X-Ray Computed
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Unilateral facial palsy in an infant: an unusual presentation of familial multiple cerebral cavernous malformation. 2012, 2012: BMJ Case RepJournal
BMJ case reportsDOI
10.1136/bcr-2012-007508PubMed ID
23203183Abstract
Cerebral cavernous malformation (CCM) in infants tends to have genetic predisposition. These cavernomas have a progressive course of events and associated neurological symptoms with increase in age. They most commonly present with seizure and syndrome of increased intracranial pressure comprising of headache, vomiting and focal neurological signs. We describe a case of a 7-month-old infant who presented with an acute onset of right facial paralysis with a background of familial CCM. The CT and MRI scan revealed fresh haemorrhage in the right cerebellar and pontine cavernomas with surrounding oedema and no evidence of obstructive hydrocephalus. These two cavernomas re-bled in a week duration causing episodes of incessant crying and irritability. After discussing the pros and cons of treatment, owing to stable clinical status, the patient is currently been managed conservatively.Item Type
ArticleLanguage
enISSN
1757-790Xae974a485f413a2113503eed53cd6c53
10.1136/bcr-2012-007508
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