She was transferred to our care and over the next week or so the bleed increased and she developed worsening weakness and slow heart rate. We took her to the OR and, operating under the temporal lobe to approach the brainstem from in front, removed the clot and the cavernous malformation. Now, 2 months postoperatively, she is normal.
“Pediatric Pontine Cavernous Malformations: The Presigmoid, Posterior Petrosal Approach.” Operative Neurosurgery 15:552, 2018
A 12-year-old girl fell while playing soccer and had a headache. She was taken to an outside ER and was sent home. Over the next week, her mother noted a facial weakness and brought her to another ER where a CT scan was done which showed a bleed in her brainstem from a Cavernous malformation unrelated to her fall.