Intramedullary cavernous angiomas of the spinal cord: Report of six cases

Cantore, Giampaolo; Delfini, Roberto; Cervoni, Luigi; Innocenzi, Gualtiero; Orlando, E

doi:10.1016/0090-3019(95)80088-x

Cited by 55 publications

(32 citation statements)

References 11 publications

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“…7 The severity of the spondylotic myelopathy is assessed according to the JOA scoring system that consists of three parts; the motor functions of upper and lower extremities, the sensory functions of upper and lower extremities and trunk, and the bladder function. 8 The highest score (17) corresponds to no myelopathy and the lowest score (0) corresponds to complete cord injury. 8 (7) 94 ( Clinical information was gathered by outpatient review and telephone interviews.…”

Section: Methodsmentioning

confidence: 99%

“…Previous studies have good outcomes using the ventral approach at the cervical and thoracic levels. [16][17][18] If CAs are located ventrally, especially when present superficially, ventral approach could provide direct approach into CA without myelotomy and avoid additional neurological deficits following dorsal or dorsolateral myelotomy. However, when CAs are deep to the surface, ventral approach also has risks damaging corticospinal tract, resulting in additional neurological deficit.…”

Section: Clinical Outcomesmentioning

confidence: 99%

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The clinical outcomes after complete surgical resection of intramedullary cavernous angiomas: changes in motor and sensory symptoms

Chung

2008

Spinal Cord

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Study design: Evaluation of the surgical effects of patients with intramedullary spinal cord cavernous angiomas (CAs). Objectives: To assess the sensory and motor deficits in the clinical symptoms of patients with intramedullary CAs after complete surgical resection. Setting: Seoul National University Hospital, Korea. Results: The patients' mean ASIA score at follow-up was increased in comparison to the preoperative score (97.2±5.3 vs 95.2±7.6, P ¼ 0.201), but this difference was not significant. The mean JOA motor score at follow-up was slightly increased in comparison to the preoperative score (7.2±1.3 vs 6.8±1.3, P ¼ 0.107). There was a significant difference between the patients' preoperative and follow-up JOA sensory score (4.3 ± 1.0 vs 4.9 ± 0.9, P ¼ 0.007). The rates of complete resolution of motor and sensory deficits were 45.5% (5/11 patients) and 7.1% (1/14 patients), respectively. Conclusion: Although complete surgical resection could improve the clinical symptoms of intramedullary CAs, the sensory deficits usually remain in the long-term period after complete resection.

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Section: Methodsmentioning

confidence: 99%

Section: Clinical Outcomesmentioning

confidence: 99%

The clinical outcomes after complete surgical resection of intramedullary cavernous angiomas: changes in motor and sensory symptoms

Chung

2008

Spinal Cord

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“…However, the entire neuraxis should be screened because there is a high incidence of multiple lesions. 1,5,8,24,38,42) With previous reports, we can distinguish pediatric cases from adult cases based on epidemiological features and clinical presentation. The prevalence of females with adult intramedullary spinal cord cavernous angiomas is shown by a female/male ratio of 2:1 32,36,42,45) and 1.1:1.…”

Section: Discussionmentioning

confidence: 99%

“…Cavernous angiomas in the CNS might be multiple with similar lesions affecting other organs or the CNS. 1,5,38,42) Some might have a familial distribution. 4,20,33) In our case, the lesion was neither multiple nor familial.…”

Section: Discussionmentioning

confidence: 99%

Infantile Cervical Intramedullary Cavernous Angioma Manifesting as Hematomyelia -Case Report-

Miyoshi

Yasuhara

Omori

et al. 2010

Neurol. Med. Chir.(Tokyo)

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A 2-month-old infant presented with a cervical intramedullary spinal cord cavernous angioma manifesting as left hemiparesis caused by hematomyelia. Osteoplastic laminotomy of the cervical spine was carried out with subsequent microsurgical excision of the intramedullary spinal cord cavernous angioma. Magnetic resonance imaging revealed no residual tumor. At 25 months after the surgery, she presented no neurological deficit without recurrence and cervical deformity. This case of infantile intramedullary spinal cord cavernous angioma presenting with cervical hematomyelia shows osteoplastic laminotomy of the cervical spine might be helpful to prevent consequent cervical deformity in pediatric cases.

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“…Com o advento da ressonância nuclear magnética (RNM) na década de 1980, o número de diagnósticos e cirurgias aumentou, o cavernoma foi reconhecido como causa de mielopatia aguda principalmente em jovens e os pacientes portadores de cavernomatoses puderam ter sua medula mapeada. [3][4][5]9,15 Cavernomas podem se manifestar em qualquer idade e 10% deles são observados na população pediá-trica, em que as manifestações parecem mais agudas. Costumam manifestar-se na quarta década de vida.…”

Section: Introductionunclassified

Cavernomas da medula torácica: Considerações e relato de um caso-exemplo

Joaquim¹,

Patriota²,

Bianco³

2010

Arq Bras Neurocir

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RESUMO Os autores discutem o tratamento dos cavernomas da medula torácica e apresentam um caso como exemplo. Essas lesões são passíveis de ressecção cirúrgica preventiva de déficits neurológicos. PALAVRAS-CHAVECavernoma. Angioma cavernoso. Cavernoma medular. ABSTRACT Considerations on thoracic spinal cord cavernomas and case reportThe authors discuss the treatment of the thoracic spinal cord cavernomas. A case is presented. These lesions are elegible to be ressected before the neurological deficits occur. KEY WORDS Cavernoma. Cavernous angioma. Spinal cord cavernoma. IntroduçãoO primeiro cavernoma medular foi descrito em 1900, e a primeira cirurgia, em 1912. Até 1985, apenas 19 casos haviam sido descritos na literatura. Com o advento da ressonância nuclear magnética (RNM) na década de 1980, o número de diagnósticos e cirurgias aumentou, o cavernoma foi reconhecido como causa de mielopatia aguda principalmente em jovens e os pacientes portadores de cavernomatoses puderam ter sua medula mapeada. [3][4][5]9,15 Cavernomas podem se manifestar em qualquer idade e 10% deles são observados na população pediá-trica, em que as manifestações parecem mais agudas. Costumam manifestar-se na quarta década de vida. 3,7 Há predileção pela ocorrência na medula torácica e pode haver multiplicidade e ocorrência familiar, o que requer investigações. Podem estar associados a angiomas de pele ou órgãos internos ou ocorrer após a radioterapia. 10,11,13 Ocorrem como lesões semelhantes a framboesas circundadas de gliose e um anel de hemossiderina. O plano gliótico é frequentemente infiltrado por prolongamentos dos cavernomas. As dimensões variam de milímetros a centímetros e o crescimento lento permite adaptabilidade medular. Às vezes, a superfície da medula está amarelada e há focos de hemorragias antigas adjacentes. Calcificações podem ocorrer. 1,4 DiagnósticoPodem ocorrer sintomas agudos, progressivos ou episódicos e recorrentes. Os sintomas agudos devem-se a hemorragias, e hematoma intramedular associada pode ocorrer. Há déficits sensitivos, motores e esfincterianos e pode haver dor radicular correspondente ao nível medular do cavernoma ou pode ocorrer hemorragia subaracnoidea e hidrocefalia. 2,5,6

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Intramedullary cavernous angiomas of the spinal cord: Report of six cases

Cited by 55 publications

References 11 publications

The clinical outcomes after complete surgical resection of intramedullary cavernous angiomas: changes in motor and sensory symptoms

The clinical outcomes after complete surgical resection of intramedullary cavernous angiomas: changes in motor and sensory symptoms

Infantile Cervical Intramedullary Cavernous Angioma Manifesting as Hematomyelia -Case Report-

Cavernomas da medula torácica: Considerações e relato de um caso-exemplo

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