Brain hemangioma.

Abstract

A 13-year-old girl was first observed
with a history of deterioration in handwriting, staccato
speech, poor coordination and abnormal jerky movements
of the limbs from 2 weeks. She complained of
weakness of the right side of her body, was dropping
objects from her right hand and was unstable on her
right foot. On examination, a positive finger-nose sign,
ataxia and choreo-athetoid movements were detected
on the right. MRI showed hemangioma in the middle
gyrus of the left temporal lobe with recent micro-hemorrhage
(Fig. 1). The patient improved after removal
of the hemangioma. The histology (Fig. 2) showed dilated
thin-walled vessels lying in close contact with each
other. On their periphery reactive gliosis (Fig. 2, 3), calcifications
and hemosiderin deposits were observed.