Unintentional Drowning Associated with Multiple Cerebral Cavernous Malformations

Hiro Matsukura^1, , Satomi Inomata² and Tomomi Tanaka³

¹Department of Pediatrics, Saiseikai Toyama Hospital

²Division of Neonatology, Maternal and Perinatal Center, Toyama University Hospital

³Department of Pediatrics, Faculty of Medicine, University of Toyama

Cite this paper:
Hiro Matsukura, Satomi Inomata and Tomomi Tanaka. Unintentional Drowning Associated with Multiple Cerebral Cavernous Malformations. American Journal of Medical Case Reports. 2019; 7(9):217-218. doi: 10.12691/ajmcr-7-9-9

Abstract

Cerebral cavernous malformations (CCMs), which occur in a sporadic or familial form, can predispose a person to seizures, focal neurological impairment, and hemorrhage. Upon discovery floating in a swimming pool, a 3-year-old boy was unresponsive and not breathing, but he achieved uneventful recovery after adequate cardiopulmonary resuscitation. Diagnostic head magnetic resonance imaging confirmed multiple CCMs. Absence of affected family members was indicative of the sporadic form. Subsequently, he developed social communication deficits and restricted and repetitive behaviors, suggestive of autism spectrum disorders (ASD). Comorbidity of CCMs and ASD is rare. Seizure associated with multiple CCMs might precipitate unintentional drowning.

Keywords:
autism spectrum disorders magnetic resonance imaging seizure Tanaka–Binet Intelligence Quotient

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