Ruptured Infantile Myofibroma of the Head Presenting in a Neonate: Case Report and Review of the Literature.

World Neurosurg

Department of Neurosurgery, University of Pennsylvania, Hospital of the University of Pennsylvania, Philadelphia, USA; Division of Neurosurgery, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.

Published: February 2017

AI Article Synopsis

  • Infantile myofibroma/myofibromatosis (IM/M) is a condition affecting infants that causes tumors, primarily in the head and neck region, and can sometimes require neurosurgical intervention.
  • The reported case involves a newborn with a ruptured myofibroma in the head that was initially mistaken for an encephalocele, and it covers the patient's imaging, histology, and surgical treatment.
  • While IM/M is uncommon in neurosurgery, it's crucial for medical professionals to consider it when diagnosing head and neck masses in newborns, as it presents differently than other serious conditions.

Article Abstract

Background: Infantile myofibroma/myofibromatosis (IM/M) is a myofibroblastic proliferative disorder often seen in infants and children. IM/M can result in congenital tumors of the head and neck and may occasionally present to the neurosurgeon.

Case Description: We report a case of a solitary ruptured myofibroma of the head in a newborn patient. The lesion was initially suggestive of encephalocele. We describe the presentation and management of this patient, including relevant imaging, histopathologic evaluation, and surgical technique. We subsequently review the literature of IM/M of the head and neck, highlighting the 3 forms of the condition, each requiring a distinct management strategy.

Conclusions: Although this tumor rarely presents to the neurosurgeon, it may do so in the process of ruling out other more dangerous conditions. It is therefore important to consider this diagnosis in masses that occur in the head and neck of newborns.

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Source
http://dx.doi.org/10.1016/j.wneu.2015.09.106DOI Listing

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