藍原 康雄
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Associate Professor
Article types Case report
Language English
Peer review Peer reviewed
Title Brainstem cavernous hemangioma with improvement of Holmes tremor on excision.
Journal Formal name:Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
Abbreviation:Childs Nerv Syst
ISSN code:14330350/02567040
Domestic / ForeginForegin
Volume, Issue, Page pp.s00381-024-06423-7
Author and coauthor Eguchi Hiroki, Aihara Yasuo, Chiba Kentaro, Oda Yuichi, Momozaki Ouji, Saitou Ryo, Kawamata Takakazu
Authorship 2nd author,Corresponding author
Publication date 2024/04
Summary An 8-year-old boy presenting with left-angle paralysis, tremor in upper and lower extremities, and diplopia was diagnosed with hemorrhage from a mesencephalic cavernous hemangioma. He underwent hemangiomectomy through the occipital transtentorial approach 4 weeks post-hemorrhage, after which Holmes tremor (HT) markedly reduced. A year later, hemangioma has not recurred; he is now independent in his daily activities. Early intervention in the subacute stage allows for the complete removal of brainstem cavernomas (BSCs), with minimal risk of complications or sequelae. Proper timing and surgical approach for BSCs can prevent re-bleeding and improve HT after an initial hemorrhage, without any lasting negative consequences.
DOI 10.1007/s00381-024-06423-7
PMID 38639803