Cavernous angioma surgery
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Edzel Lorraine Co, D.M.D., M.D.
Overview
Surgery is the mainstay treatment for cavernous angioma. Complete surgical resection should be done to prevent seizures and hemorrhage due to remnant tissue.
Indication
Surgery
- Surgical resection is the most preferred intervention for cavernous angioma.
- Complete resection is needed as remnant tissue can cause high risk of seizure and hemorrhage.[1]
- Factors that complicate procedure include:
- Presence of gliosis
- Calcification
- Hyaline degeneration [2]
- If seizure surgery occurs, the hemosiderin ring should be removed.[3]
References
- ↑ Stapleton CJ, Barker FG (2018). “Cranial Cavernous Malformations: Natural History and Treatment”. Stroke. 49 (4): 1029–1035. doi:10.1161/STROKEAHA.117.017074. PMID 29535273.
- ↑ Wang CC, Liu A, Zhang JT, Sun B, Zhao YL (2003). “Surgical management of brain-stem cavernous malformations: report of 137 cases”. Surg Neurol. 59 (6): 444–54, discussion 454. doi:10.1016/s0090-3019(03)00187-3. PMID 12826334.
- ↑ Cenzato M, Stefini R, Ambrosi C, Giovanelli M (2008). “Post-operative remnants of brainstem cavernomas: incidence, risk factors and management”. Acta Neurochir (Wien). 150 (9): 879–86, discussion 887. doi:10.1007/s00701-008-0008-4. PMID 18754072.
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