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Updated: Aug 19, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
[Diagnosis and therapy of intracavernosal cavernous hemangioma]
Lan-bing Yu1, Ji-zong Zhao, Wen-qing Jia
1Department of Neurosurgery, Beijing Tiantan Hospital, Capital University of Medical Sciences, Beijing 100050, China.
Insights
Surgical intervention remains the optimal treatment for intracavernosal cavernous hemangioma, offering a viable therapeutic option for patients despite potential postoperative complications.
Area of Science:
- Neurosurgery
- Neuropathology
- Vascular Malformations
Context:
- Intracavernosal cavernous hemangiomas are rare vascular malformations.
- Diagnosis and treatment present unique challenges due to their location.
- Limited data exists on surgical outcomes for these specific lesions.
Purpose:
- To analyze the diagnosis and therapeutic outcomes of intracavernosal cavernous hemangioma.
- To evaluate surgical approaches and postoperative complications.
- To establish surgical intervention as the preferred treatment modality.
Summary:
- A retrospective analysis of 43 patients with intracavernosal cavernous hemangioma treated between 1996 and 2003.
- Surgical approaches included frontotemporal craniotomy and combined approaches.
- Total tumor removal was achieved in 22 cases, with common complications including oculomotor, abducent, and facial nerve paralysis.
Impact:
- Highlights the efficacy of surgical resection for intracavernosal cavernous hemangioma.
- Provides insights into surgical techniques and potential complications.
- Reinforces the role of surgery in managing this rare condition.
Objective:
To study the diagnosis and therapy of intracavernosal cavernous hemangioma.
Methods:
The clinical data, including pathology, epidemiology, medical imaging, operation procedure, and post-operational complication, of 43 intracavernosal cavernous hemangioma patients undergoing operations in Tiantan Hospital 1996 to 2003 were analyzed. Frontotemporal craniotomy, frontal craniotomy, and combined fronto-temporal preauricular subtemporal approach were used for the 43 patients.
Results:
The male/female ratio of these cases was 1:2.58. The average age of onset was 44.28 (11 approximately 67). The initial symptoms included headache, diminution of vision, paralysis of occulomotor nerve, ambiopia, facial pain or numbness epilepsy, etc. Although showing no specific typical feature, MRI still helped in diagnosis. The tumor was totally removed in 22 cases, subtotally removed in 11 cases, and partially removed in 10 cases. The main post-operational complications included oculomotor nerve paralysis (16 cases), abducent nerve paralysis (10 cases), and facial nerve paralysis (3 cases). No postoperative death occurred.
Conclusion:
Operation is still the best choice for intracavernosal cavernous hemangioma patients.
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