Posts Tagged ‘Cranial’

Case Study Series: Giant Aneurysm

This patient was an 11-year-old who presented with sudden onset of left-sided weakness. Her imaging showed a lesion on the right side of her brain with associated right-sided infarcts. Her evaluation included an MRI and then an angiogram. The angiogram revealed a giant fusiform aneurysm of the middle cerebral artery (MCA). 

A giant aneurysm is one that is over 2.5 cm in size. Giant fusiform aneurysms are a rare cerebrovascular pathology, especially in the pediatric population. They represent only approximately 5% of aneurysms.

Continue Reading

Case Study Series: Clival Chordoma

This child was 9 years old when I first met her. She presented with progressive weakness on the left side, a weak voice, swallowing difficulties and impaired balance. Her imaging showed a lesion (tumor) in the posterior fossa compressing the brain stem.

Our initial impression was that this tumor was most consistent with a clival chordoma. We discussed the treatment options, and my plan was for a multi-staged approach for the resection of the lesion. I chose this treatment because I did not think it was possible to safely resect the entire lesion via a single surgery.

Continue Reading

Case Studies Series: Cerebellar AVM

This child was 10 years old when he initially presented to the hospital.  He was with his grandmother when he began complaining of a headache, after which he lost consciousness. His grandmother called the paramedics but the sheriff got to the house first.  The sheriff found the child not only unresponsive but also not breathing. According to the sheriff, he was purple. He initiated CPR and was able to get his pulse back. The sheriff saved him!

He was brought into the emergency room and was intubated.  He had a CT scan of the brain that showed an intracranial hemorrhage.  During the time in the ER, he arrested again and was brought back.

The ER called me after the CT scan on the way up to the Pediatric ICU.

I met him and his family in the ICU.

His CT head showed blood in the cerebellum with compression of the brain stem. There was also some hydrocephalus. His CT angiogram showed an associated arteriovenous malformation that had caused the hemorrhage.

Continue Reading

Case Studies Series: Multiple Hemangiomas

This child was 3 months old when she presented to the emergency room with evidence of increased pressure inside of her head.  She had rapid head growth and the soft spot at the top of her head (anterior fontanelle) was tense.  Interestingly, she had multiple skin lesions that were consistent with cutaneous hemangiomas.

Based on her clinical condition, she underwent a CT scan of the brain, followed by an MRI of the brain. We could not do a contrast MRI since she was allergic to the contrast material for the MRI but we did a contrast CT and MRI without contrast. For a lot of tumors, it’s easier to see the tumors with the contrast dye but we had to proceed without it.  

Continue Reading

Make An Appointment

To make an appointment, call our office or click below.

Make an Appointment »

Office Hours

  • Monday - Friday: 8:30am-5:00pm
  • Saturday - Sunday: Closed

Contact Us

2888 Long Beach Blvd. Suite 240
Long Beach, CA 90806

Phone: 562.595.7696
Fax: 562.988.1559