Cavernoma do ventrículo lateral: relato de caso

Fagundes-Pereyra, Walter José; Marques, João Antônio Pinheiro; Sousa, Larissa de; Carvalho, Gervásio Teles Cardoso de; Sousa, Atos Alves de

doi:10.1590/s0004-282x2000000500029

Cited by 12 publications

(7 citation statements)

References 20 publications

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“…A subependymal origin of ventricular CMs, with secondary growth inside the ventricle, has been postulated by Chadduck et al [42]. Supratentorial-intraventricular CMs are more frequently recorded than infratentorial lesions [13, 15, 24,41,42,43,44,45,46,47,48]. …”

Section: Resultsmentioning

confidence: 99%

Cavernous Malformations of the Central Nervous System in the Pediatric Age Group

et al. 2009

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Objective: The main clinico-diagnostic features, risk factors and associated diseases of cavernous malformations (CMs), also called cavernous angiomas or cavernomas, of the central nervous system (CNS) in children are described, and the most relevant differences compared to the affected adult population are pointed out, focusing on the management of pediatric patients harboring cranial and spinal CMs. Materials: This was a retrospective study of a series of 42 children symptomatic for CMs of the cranial and spinal compartments (35 supratentorial brain lesions, 5 infratentorial and 2 in the spinal region) operated on between 1975 and 2005, with a clinical follow-up ranging from 12 to 192 months. The results were compared with those found in the most recent literature dealing with pediatric CMs of the CNS. Results: Surgical treatment produced excellent or good results in 69% of our 42 children. Unchanged neurological deficits were observed in 23.8% of cases, while morbidity from surgical procedures was 7.14%. Mortality was absent in this series. These surgical results are comparable with those found in the literature, where morbidity and mortality rates from surgery are 8.8 and 1.13%, respectively, and are mostly associated with procedures for the excision of deep, critically located cavernomas. Conclusion: CMs represent the most common CNS vascular lesion in children, although their incidence is 4 times lower than that of the adult population. The natural history of pediatric CMs throughout the neuraxis seems to be more aggressive than in adult patients; these lesions have higher rates of growth and hemorrhage, larger dimensions and often atypical radiological pictures at diagnosis. Beside the familial form of the disease, which is more often associated with multiple lesions and an earlier age of clinical presentation, the major risk factor for CMs in children seems to be radiotherapy for CNS tumors. Furthermore, a greater number of CMs coexistent with mixed angiomatous lesions have been reported in children than in adults. Surgical results are related to the preoperative neurological status of the children; symptomatic patients who are operated on early, before they develop severe neurological deficits or long-standing seizures, may achieve the best clinical outcome. Radiosurgery does not seem to be advisable in children as an alternative treatment for deep CMs or those causing epilepsy.

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Section: Resultsmentioning

confidence: 99%

Cavernous Malformations of the Central Nervous System in the Pediatric Age Group

et al. 2009

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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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“…1980 yı lı nın or ta la rın dan be ri mal for mas yon la rın do ğal sey ri da ha iyi an laşıl ma ya baş lan mış, ve cer ra hi re zek si yon de ne yimle ri ile bir lik te da ha iyi do kü man te edil miş tir. 6,10,11 Ka ver nom lar da ste re o tak tik rad yo cer ra hi nin so nuç la rı tar tı şıl ma lı dır. Ba zı ya yın lar da ka na ma yı azalt tı ğı, ba zı ya yın lar da ise di en se fa lon, be yin sapı gi bi de rin yer le şim li ka ver nom lar da ka na ma nın azal ma dı ğı gi bi, rad yo nek ro za bağ lı ka na ma ve sekel ler de art ma ol du ğu bil di ril miş tir.…”

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Stereotactic Radiotherapy in the Treatment of Cavernoma

Gül¹,

Mayadağlı²,

Ozseker³

et al. 2014

Turkiye Klinikleri J Med Sci

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29Kavernom Tedavisinde Stereotaktik Radyoterapi Ö ÖZ ZE ET T A Am ma aç ç: : Kavernomlar santral sinir sisteminin vasküler malformasyonlarıdır. Serebral malformasyonların %4-10'unu oluşturmaktadır. Kavernomların yaklaşık %80'ini supratentoriyal yerleşimlidir. Tedavide öncelik cerrahi olmakla birlikte yüksek riskli hastalarda stereotaktik radyoterapi uygulanmaktadır. Biz burada stereotaktik radyoterapi (SRT) uyguladığımız 11 kavernom olgusunun tedavi sonuçlarını sunduk. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Çalışmamızda kliniğimize baş ağrısı ve diğer nö-rolojik bulgular ile başvuran ve stereotaktik radyoterapi uyguladığımız 11 kavernomlu olgu incelenmiştir. Lezyonlar 10 olguda lobar yerleşimli olup, 1 olguda pons yerleşimlidir. Lezyon boyutu ortalama olarak 1,5±0,36 (±SD) (minimum: 0,7, maksimum: 1,8) santimetredir. Olguların medyan yaşı 44 olup (minimum: 31, maksimum: 71), 8'i kadındı. Olgulara 1-3 fraksiyonda ortalama 17±4,13 Gy dozda steriotaktik radyoterapi uygulandı. Ortalama takip süresi 29±2,04 aydır (minimum: 28, maksimum: 35). B Bu ul lg gu ul la ar r: : Takiplerde 7 olguda semptomlarda tama yakın regresyon elde edilmiştir. Dört olgu tedaviye radyolojik olarak tam cevap vermiş, 7 olguda lezyon stasyoner olarak kalmıştır. Tedavi komplikasyonu olarak 1 hastada kanama, 1 hastada nekroz gelişmiştir. S So on nu uç ç: : SRT'nin kavernom tedavisindeki yeri tam olarak tanımlanmamıştır ve cerrahi ilk düşünülecek tedavi yönte-midir. Ancak cerrahi tedavi için lokalizasyonu yüksek risk taşıyan lezyonlarda ve semptomatik seçilmiş hastalarda cyberknife steriotaktik radyoterapi tedavisi bir seçenek olarak düşünülebilir.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Santral sinir sistemi vasküler malformasyonları; radyocerrahi; tedavi A AB BS S T TR RA AC CT T O Ob b j je ec c t ti i v ve e: : Ca ver no mas are vas cu lar mal for ma ti ons of the cen tral ner vo us system. They cons ti tu te 4-10% of all ce reb ral mal for ma ti ons. Eighty per cent of ca ver no mas are lo ca ted sup ra tento ri ally. Sur gery is the first tre at ment op ti on, but ste re o tac tic ra di o sur gery has be en used in pa ti ents with high risk. He re in we re por ted the re sults of 11 ca ver no ma pa ti ents tre a ted with ste re o tac tic radi ot he rapy (SRT). M Ma a t te e r ri i a al l a an nd d M Me et t h ho od ds s: : Ele ven ca ver no ma pa ti ents ad mit ted to our cli nic with hea dac he and ne u ro lo gi cal symptoms and tre a ted with ste re o tac tic ra di ot he rapy we re analy zed. Le si ons we re lo ca ted in pons in 1 pa ti ent and we re lo bar in 10 pa ti ents. The me di an si ze of the le si ons was 1.5 cm. The me di an age of the pa ti ents was 44 (mi ni mum: 31, ma xi mum: 71) ye ars, 8 of them we re fe ma les. Pa ti ents we re tre a ted with a me di an do se of 17±4.13 (±SD) Gy, in 1-3 frac ti ons. The me dian fol low up pe ri od was 29 months (mi ni mum: 28, ma xi mum: 35). R Re e s su ul lt ts s: Du ring fol low up pe ri od, 7 pa ti ents al most comp le te reg res si on of the ir symptom...

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Cavernoma do ventrículo lateral: relato de caso

Abstract: Although lateral ventricle cavernomas are rare they should be considered in the differential diagnosis of intraventricular tumors. A wrong preoperative diagnosis has sometimes induced a wrong therapy, such as radiotherapy, for these surgically curable benign lesions.

Cited by 12 publications

References 20 publications

Cavernous Malformations of the Central Nervous System in the Pediatric Age Group

Cavernous Malformations of the Central Nervous System in the Pediatric Age Group

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

Stereotactic Radiotherapy in the Treatment of Cavernoma

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