Microsurgical treatment of supratentorial cavernous malformations

The indications for the surgical management of supratentorial cavernous malformations are outlined and the results following operation are presented in this article. Surgery is indicated for most patients who present with seizures, neurologic deficit, or headache. The surgical approaches to lesions in the cerebrum are described. The operative morbidity and mortality are low. Over 95% of all patients have excellent or good results and return to their previous level of activity.