Giant cavernous hemangiomas of the brain
A 14-year-old male child presented with the history of multiple episode of generalized tonic-clonic seizures and headache of 3-month duration. There was no history of focal weakness. His general and systemic examination was unremarkable. Neurologically, he 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 well-defined lesions (4.2 × 4.5 cm size) with areas of hyperdensity inside in left temporoparietal region with mass effect []. With these findings, a diagnosis of cavernous hemangioma with seizures was made. The patient underwent left temporoparietal craniotomy and complete excision of the lesion including surrounding gliotic tissue []. The patient was receiving Tab. Phenytoin 150 mg once at night time that was continued. The child was doing well at one-year follow-up without any recurrence of seizures.