Giant cavernous hemangiomas of the brain
A 10-year-old female child presented with the history of multiple episode of generalized tonic-clonic seizures and headache of 6-month duration. There was no history of focal weakness. Her general and systemic examination was unremarkable. Neurologically, she was conscious, alert, and oriented to time, place, and person. Cranial nerves were normal. Motor and sensory examination was normal and there were no focal neurological deficits. Blood investigations were normal. CT scan brain plain showed deep-seated calcified lesion in the left frontal lobe. MRI brain T1, T2, and FLAIR images showed deep-seated heterogeneous lesion in the left frontal lobe [Figure and ]. Digital subtraction angiography was normal. With these findings, a diagnosis of cavernous hemangioma with intractable seizures was made. The patient underwent left frontal craniotomy and complete excision of the lesion (5×4 cm size) including surrounding gliotic tissue []. Histopathology confirmed the diagnosis of cavernoma []. The patient was receiving Tab. Phenytoin 150 mg once at night time that was continued. The child was doing well at 9-month follow-up without any recurrence of seizures.