Angioma cavernoso intracraniano

Lynch, José Carlos; Andrade, Ronaldo Percopi de; Pereira, Celestino; Salomão, J. Francisco; Duarte, Francisco; Carvalho, Francisca Gonçalves de; Chadrycki, Edla

doi:10.1590/s0004-282x1994000200015

Cited by 8 publications

(4 citation statements)

References 27 publications

(9 reference statements)

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“…According to the available data, most IVCs were located in the lateral ventricles (49/91 [54%] of the cases). The second most Lateral ventricles 13 No operation Improvement Lateral ventricles 31 No operation Unchanged/deterioration Lateral ventricles 32,33 No operation Death Lateral ventricles 6,11,13,14,16,19,21,[34][35][36][37][38][39][40][41][42][43][44] Total removal Improvement Lateral ventricles 11,13,16,19,20,[45][46][47][48][49][50] Total removal Unchanged/deterioration Lateral ventricles 6 Total removal Death Lateral ventricles 13,37,51 Partial removal Improvement Third ventricle 52 No operation Death Third ventricle 13,17,18,25,35,[53][54][55][56]…”

Section: Resultsmentioning

confidence: 99%

Therapeutic Management of Intraventricular Cavernoma: Case Series and Review of the Literature

Faropoulos

Panagiotopoulos

Partheni

et al. 2015

J Neurol Surg A Cent Eur Neurosurg

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Intraventricular cavernoma (IVC) is a rare intracranial vascular malformation and only 100 cases of IVC have been described in the literature. Although IVCs share some common characteristics with intraparenchymal cavernomas, they also have some distinct features involving structure, clinical symptoms, radiologic appearance, and onset of symptoms. This review presents our experience, consisting of five IVC cases over a period of 11 years. We describe the symptoms leading to hospital admission, the main radiologic findings, the management of each ICV case, and the patients' clinical status after surgery. We also reviewed the international literature on IVC, presenting the main demographic characteristics, their most common location in the ventricular system, and the main signs and symptoms. Finally, we present the management options according to the current literature, the advantages and disadvantages of every management option, accompanied by a brief follow-up of most IVC cases, whether the cavernoma was treated surgically or conservatively.

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Section: Resultsmentioning

confidence: 99%

Therapeutic Management of Intraventricular Cavernoma: Case Series and Review of the Literature

Faropoulos

Panagiotopoulos

Partheni

et al. 2015

J Neurol Surg A Cent Eur Neurosurg

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“…It also provides an indication of the lesion., [17,18,19] Associated pathology like perilesional edema, thrombus and hemorrhage, can be better visualized by MRI. MRI also helps in deffentiating cavernoma bleed from bleeding due other causes like brainstem neoplasm, arteriovenous malformations, infection, hypertension or coagulopathy.…”

Section: Discussionmentioning

confidence: 99%

Experience of microsurgical treatment of brainstem cavernomas: Report of 37 cases

Cai

et al. 2009

Neurol India

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“…Classicamente manifestam-se com crises convulsivas, mas a sintomatologia pode ser bastante variável 14 , dependendo da localização e do volume de sangramento. As lesões de localização supratentorial apresentam principalmente crises convulsivas 11,15,16 . Os sinais focais são mais freqüentes em lesões infratentoriais.…”

Section: Discussionunclassified

Cavernomas: conduta no serviço de neurocirurgia da Santa Casa de Belo Horizonte

Faria

Fagundes-Pereyra

Carvalho

et al. 2004

Arq. Neuro-Psiquiatr.

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RESUMO -A melhor compreensão da história natural dos cavernomas, o aprimoramento dos métodos diagnósticos e das técnicas microcirúrgicas tornaram possíveis as seguintes condutas: tratamento conservador, radiocirurgia e ressecção cirúrgica. Apresenta-se revisão de 33 pacientes operados no serviço de Neurocirurgia da Santa Casa de Belo Horizonte, no período de 1992 a 2001. Cavernomas corticais e subcorticais que se manifestaram por crises convulsivas de difícil controle (57,5%) ou principalmente por hemorragia (15,1%) foram tratados cirurgicamente. As lesões profundas (gânglios basais, tálamo e tronco encefálico) somaram 27,7%. Estas, atualmente, só devem ser operadas quando estão próximas à superfície ependimária ou pial. Indicou-se ainda a ressecção de lesões medulares (5,5%) e cerebrais profundas, que apresentaram déficit focal progressivo(13,8%) ou episódios recorrentes de hemorragia(13,8%). As lesões pequenas e profundas que não apresentam hemorragia devem ser tratadas conservadoramente.Não existe, no momento, evidência de resultados favoráveis com a radiocirurgia.PALAVRAS-CHAVE: cavernomas, quadro clínico, microcirurgia. Cavernous malformations: surgical management in Belo Horizonte Santa Casa HospitalABSTRACT -The better understanding of the natural history of the cavernous malformations and the improvement of diagnostic methods and of microsurgical techniques have made the management of cavernous malformations possible through the conservative treatment, radiosurgery, and microsurgical resection. We present 33 cases operated at our service at Santa Casa Hospital, Belo Horizonte, from 1992 to 2001. Cortical and subcortical cavernomas manifested by epilepsy (57.5%) or mainly by hemorrhage (15.1%) were surgically approached. The deep lesions (basal ganglia, talamo and brain steam) represented 27.7% of our cases. They should only be operated when located near the pial or ependimary surface. The resection of spinal cord lesions (5.5%) and of deep brain lesions is also recommended when they present progressive focal deficit (13.8%) or recurrent episodes of hemorrhage (13.8%). Small and deep seated cavernomas that do not present bleeding must be conservatively treated. There has been no evident favourable result related to radiosurgery so far.

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Angioma cavernoso intracraniano

Cited by 8 publications

References 27 publications

Therapeutic Management of Intraventricular Cavernoma: Case Series and Review of the Literature

Therapeutic Management of Intraventricular Cavernoma: Case Series and Review of the Literature

Experience of microsurgical treatment of brainstem cavernomas: Report of 37 cases

Cavernomas: conduta no serviço de neurocirurgia da Santa Casa de Belo Horizonte

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