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Intradural spinal cavernomas.

R Sharma1, D Rout, V V Radhakrishnan

  • 1Department of Neurosurgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India.

British Journal of Neurosurgery
|January 1, 1992
PubMed
Summary
This summary is machine-generated.

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Intradural cavernomas, rare spinal cord vascular lesions, were surgically removed in four patients. Two patients improved post-surgery, while two experienced no change in their neurological deficits.

Area of Science:

  • Neurology
  • Neurosurgery
  • Vascular Malformations

Background:

  • Intradural cavernomas are uncommon vascular malformations affecting the spinal cord.
  • These lesions can be intramedullary (within the cord) or extramedullary (outside the cord).

Observation:

  • This report details four histologically confirmed cases of spinal cord cavernomas.
  • Two cases were intramedullary and two were extramedullary.
  • Presenting symptoms included progressive neurological deficits in three patients and rapid deterioration in one due to bleeding from an extramedullary lesion.

Findings:

  • All four patients underwent surgical total excision of the cavernomas.
  • Post-operative outcomes varied, with two patients showing improvement and two remaining neurologically static.

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Implications:

  • Surgical excision is a potential treatment for spinal cord cavernomas.
  • Outcomes may be variable, highlighting the need for further research into prognostic factors.
  • This review contributes to the understanding of rare spinal vascular lesions.