5 doctors weighed in:

My almost 3 month old has multiple hemangiomas. They said they may need to do an MRI to make sure she doesn't have any on her brain. Next step?

5 doctors weighed in
Dr. Ed Friedlander
Pathology
3 doctors agree

In brief: Get the MRI's

I'll bet Junior doesn't have any in the brain, but let's see.
Hemangiomas in kids tend to disappear or at least shrink; port wine stains tend to stay around. Unless they're huge and consume platelets, they're a cosmetic issue. Many people love them. Some people hate them. Junior can decide about laser Rx when he/she grows up.

In brief: Get the MRI's

I'll bet Junior doesn't have any in the brain, but let's see.
Hemangiomas in kids tend to disappear or at least shrink; port wine stains tend to stay around. Unless they're huge and consume platelets, they're a cosmetic issue. Many people love them. Some people hate them. Junior can decide about laser Rx when he/she grows up.
Dr. Ed Friedlander
Dr. Ed Friedlander
Thank
Dr. James Ferguson
Pediatrics

In brief: WHERE ?

Hemangiomas are common and can be found along any body surface.
Most are not associated with any abnormality in the brain. A specific type of hemangioma called a port wine stain can be associated with brain hemangiomas when they occur in the distribution of the facial nerve (face upper/mid/lower) on one side. I would order such a study with PWS, but not random hemangiomas.

In brief: WHERE ?

Hemangiomas are common and can be found along any body surface.
Most are not associated with any abnormality in the brain. A specific type of hemangioma called a port wine stain can be associated with brain hemangiomas when they occur in the distribution of the facial nerve (face upper/mid/lower) on one side. I would order such a study with PWS, but not random hemangiomas.
Dr. James Ferguson
Dr. James Ferguson
Thank
1 comment
Dr. Ed Friedlander
Dr. Ferguson is correct. Only a port wine stain on the upper face runs with brain hemangiomas. Otherwise this is probably just defensive medicine. If the bones seem normal, Maffucci's is unlikely.
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