Chiasmatic cavernoma haemorrhage: To treat or not to treat? Concerning a clinical case

Marnat, Gaultier; Gimbert, Édouard; Berge, J; Rougier, M.–B.; Molinier, S.; Dousset, V.

doi:10.1016/j.neuchi.2015.05.005

Cited by 11 publications

(12 citation statements)

References 8 publications

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“…A cavernous hemangioma of the optic chiasm is rare [4,5]. Some cases have been reported, and the authors recommended total excision of the cavernous hemangioma of the optic chiasm [6][7][8], because early diagnosis is associated with good results and the prevention of recurrent hemorrhage [9,10]. However, clinical improvement can occur without operation; thus, close follow-up was recommended by other authors.…”

Section: Discussionmentioning

confidence: 99%

“…According to the literature, conservative treatment is also recommended because visual loss may improve after shrinking the cavernous hemangioma [9]. However, this treatment is not curative because the hemangioma remains intact and can bleed again.…”

Section: Discussionmentioning

confidence: 99%

“…Total excision is recommended for most symptomatic patients [6][7][8]. On the other hand, symptomatic patients may experience improvement after shrinkage of the cavernous hemangioma even without any surgical treatment, and only conservative follow-up is recommended in these cases [9]. Moreover, the surgical indication is obscure in patients with a long-term stable condition after the first episode of hemorrhage, as postoperative visual deficits are associated with decreased activities of daily living.…”

Section: Introductionmentioning

confidence: 99%

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Surgical Implication of a Cavernous Hemangioma of the Optic Chiasm Showing Recurrent Hemorrhage After Long-Term Clinical Stability: A Case Report

Umemura

2019

OAJNN

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Cavernous hemangiomas of the optic chiasm are rare, and hemorrhage from cavernous hemangiomas causes acute visual loss. Although some cases have been reported, the appropriate treatment has not been determined yet because of the scarcity of these reports. Here, we describe a patient with recurrent hemorrhage from a cavernous hemangioma of the optic chiasm after a long clinically stable period, and we discuss the surgical implication of this lesion. A 45-year-old man sustained right visual loss due to hemorrhage from a cavernous hemangioma of the optic chiasm 20 years ago and was conservatively observed. He suffered from acute visual loss in the left eye following sudden onset of headache, and he was hospitalized in our hospital. The patient complained of severe visual disturbance in the left eye in addition to long-term right visual loss. Magnetic Resonance Imaging showed recurrent hemorrhage from the lesion, and the whole chiasm was affected. We performed total excision of the lesion, and his vision improved, enabling him to return to work. This is the first report of recurrent hemorrhage from a cavernous hemangioma of the optic chiasm. We recommend surgical resection, even in clinically stable patients, to prevent recurrence.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Surgical Implication of a Cavernous Hemangioma of the Optic Chiasm Showing Recurrent Hemorrhage After Long-Term Clinical Stability: A Case Report

Umemura

2019

OAJNN

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“…Se trata de una lesión vascular del sistema nervioso central, formada por colecciones de vasos sinusoidales de una sola capa que no contienen parénquima cerebral intermedio. Es la segunda más frecuente (10-15 %) de los cuatro tipos de malformaciones cerebrales, entre las que se encuentran la malformación arteriovenosa, telangiectasia capilar y la anomalía venosa del desarrollo (1); asociándose a esta última en aproximadamente 9 % de los casos (2).…”

Section: Introductionunclassified

“…Se presenta con síntomas variables, como cefaleas, convulsiones, déficit neurológico focales, dependiendo de la ubicación de la lesión (3). Debido a su estructura histológica, las lesiones son muy susceptibles a la trombosis y a la hemorragia (2).…”

Section: Introductionunclassified

Cavernoma cerebeloso complicado con hemorragia asociado a anomalía venosa del desarrollo: reporte de caso

Franco-Chávez¹,

Chaparro-Franco²,

Martínez-Chamorro³

et al. 2021

Medicina Clínica Y Social

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El cavernoma cerebral es una lesión vascular del sistema nervioso central, la segunda más frecuente (10-15%) de los cuatro tipos de malformaciones cerebrales, entre las que se encuentran la malformación arteriovenosa, telangiectasia capilar y la anomalía venosa del desarrollo; asociándose a esta última en aproximadamente 9% de los casos. Su prevalencia estimada es solo del 0,4% en la población general. Reporte de caso de mujer de 23 años de edad, que acudió al servicio de urgencias por cefalea intensa, acompañada de vértigos intensos y de vómitos en varias oportunidades; con alteración del estado de conciencia. Se realizó tomografía axial computarizada simple de cráneo, debido a la edad de la paciente y a la localización de la lesión se procedió a realizar una resonancia magnética nuclear que demostró imágenes sugestivas de un cavernoma cerebeloso complicado con hemorragia y un angioma venoso contiguo. Se realizó tratamiento conservador y se solicitó la repetición de la RMN al mes de la primera indicación con el objetivo de valorar la evolución de la lesión y de la hemorragia. Los cavernomas frecuentemente no son detectados con una angiografía por presentar un flujo lento y por la tendencia a trombosis, siendo la herramienta diagnóstica más sensible la resonancia magnética nuclear. Se sugiere la conducta expectante frente a lesiones múltiples, a aquellas que son inaccesibles quirúrgicamente o que cursan sin complicaciones.

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Optochiasmatic Cavernomas: Updated systematic review and proposal of a novel classification with surgical approaches

Ruparelia,

Patidar,

Gosal

et al. 2024

Neurosurg Rev

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Chiasmatic cavernoma haemorrhage: To treat or not to treat? Concerning a clinical case

Cited by 11 publications

References 8 publications

Surgical Implication of a Cavernous Hemangioma of the Optic Chiasm Showing Recurrent Hemorrhage After Long-Term Clinical Stability: A Case Report

Surgical Implication of a Cavernous Hemangioma of the Optic Chiasm Showing Recurrent Hemorrhage After Long-Term Clinical Stability: A Case Report

Cavernoma cerebeloso complicado con hemorragia asociado a anomalía venosa del desarrollo: reporte de caso

Optochiasmatic Cavernomas: Updated systematic review and proposal of a novel classification with surgical approaches

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