Elise Kang1, Neil Friedman2, Ihsan Mamoun3, Joan Tamburro4, Alex Golden5. 1. School of Medicine, Case Western Reserve University, Cleveland, Ohio. 2. Center for Pediatric Neurology, Neurologic Institute and Cleveland Clinic Children's Hospital, Cleveland Clinic, Cleveland, Ohio. 3. Pediatric and Neuroimaging, Cleveland Clinic Imaging Institute, Cleveland, Ohio. 4. Department of Pediatric Dermatology, Cleveland Clinic Children's Hospital, Cleveland, Ohio. 5. Department of Pediatric Cardiology, Cleveland Clinic Children's Hospital, Cleveland, Ohio. Electronic address: goldena2@ccf.org.
Abstract
BACKGROUND: Intracranial infantile hemangiomas are extremely rare, with only 36 patients reported in literature. Treatment for intracranial infantile hemangiomas has been mostly limited to surgery, steroids, and interferon therapy. Propranolol, which is often used to treat cutaneous infantile hemangiomas, is not currently standard treatment for intracranial infantile hemangiomas. PATIENT DESCRIPTION: We present a one-month old boy with an intracranial infantile hemangioma treated with propranolol. RESULTS: This boy was being treated with oral propranolol for a supraclavicular infantile hemangioma. Subsequent brain magnetic resonance imaging (MRI) scan showed evidence of an associated intracranial infantile hemangioma in the right cerebellopontine angle. Repeat brain MRI scan after two months of propranolol treatment demonstrated a significant reduction in the size of the intracranial infantile hemangioma. CONCLUSIONS: This is the first report of successful therapy of an intracranial infantile hemangioma with propranolol.
BACKGROUND:Intracranial infantile hemangiomas are extremely rare, with only 36 patients reported in literature. Treatment for intracranial infantile hemangiomas has been mostly limited to surgery, steroids, and interferon therapy. Propranolol, which is often used to treat cutaneous infantile hemangiomas, is not currently standard treatment for intracranial infantile hemangiomas. PATIENT DESCRIPTION: We present a one-month old boy with an intracranial infantile hemangioma treated with propranolol. RESULTS: This boy was being treated with oral propranolol for a supraclavicular infantile hemangioma. Subsequent brain magnetic resonance imaging (MRI) scan showed evidence of an associated intracranial infantile hemangioma in the right cerebellopontine angle. Repeat brain MRI scan after two months of propranolol treatment demonstrated a significant reduction in the size of the intracranial infantile hemangioma. CONCLUSIONS: This is the first report of successful therapy of an intracranial infantile hemangioma with propranolol.