Description of a giant hypothalamic hamartoma associated with an immature ruptured giant sacrococcygeal teratoma: a case report

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作者
Nicolas Serratrice
Alice Faure
Andre Maues de Paula
Nadine Girard
Nicolas André
Didier Scavarda
机构
[1] Assistance Publique - Hôpitaux de Marseille,Department of Pediatric Neurosurgery, La Timone Children Hospital
[2] Assistance Publique - Hôpitaux de Marseille,Department of Pediatric Surgery, La Timone Children Hospital
[3] Assistance Publique - Hôpitaux de Marseille,Department of Pathology, La Timone Hospital
[4] Assistance Publique - Hôpitaux de Marseille,Department of Neuroradiology, La Timone Hospital
[5] Assistance Publique - Hôpitaux de Marseille,Department of Pediatric oncology, La Timone Children Hospital
[6] Aix-Marseille Université,Institut de Neurosciences des Systèmes
来源
Child's Nervous System | 2021年 / 37卷
关键词
Sacrococcygeal teratoma; Hypothalamic hamartoma; Giant; Epilepsy; Endocrine; Pediatric neurosurgery;
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摘要
Giant hypothalamic hamartomas (GHH) are rare neonatal intracerebral congenital malformations responsible for gelastic epilepsy and/or endocrine disturbances. Sacrococcygeal teratomas (SCT) are fetal neoplasms associated with perinatal morbidity and mortality, especially hemorrhagic complications in giant examples (GSCT). Here, we describe an immature ruptured GSCT complicated by hemorrhagic shock at 32-week gestation boy requiring an emergency delivery, followed immediately by urgent surgical removal. A brain lesion resembling a GHH was also present on the antenatal MRI. In order to exclude metastatic immature teratoma or glioma, a biopsy was performed by a retro-sigmoidal approach, which confirmed the nature of the hamartoma. Here, we describe for the first time the association of a ruptured immature GSCT associated with a GHH.
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页码:2363 / 2367
页数:4
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