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[Intracranial cavernous angiomas]

D E Matsko

    Arkhiv Patologii
    |January 1, 1990
    PubMed

    Insights

    Intracranial cavernous haemangiomas (CH) present unique clinico-anatomical features and are favorable for surgical treatment. Early symptoms in females may relate to hormonal changes.

    Area of Science:

    • Neurology
    • Neurosurgery
    • Vascular Malformations

    Background:

    • Intracranial cavernous haemangiomas (CH) are vascular malformations requiring detailed characterization.
    • Understanding their clinico-anatomical features is crucial for diagnosis and treatment.

    Purpose of the Study:

    • To describe the clinico-anatomical characteristics of intracranial cavernous haemangiomas.
    • To identify factors influencing CH presentation and suggest embryogenetic origins.
    • To evaluate CH as a surgical target compared to other vascular malformations.

    Main Methods:

    • Review of 9 cases of intracranial cavernous haemangiomas.
    • Analysis of clinical presentation, anatomical location, and histological types.
    • Correlation of symptoms with patient demographics and hormonal factors.

    Main Results:

    • CH were found in the brain (7 cases) and arachnoid membrane (2 cases).
    • Average age of symptom onset was 23.5 years, with emphasis on female hormonal influences.
    • Blood supply originates from peripheral small vessels; concomitant cysts are noted.
    • 6 clinical variants and 2 histologic types (typical, atypical) were identified.

    Conclusions:

    • CH exhibit distinct clinico-anatomical features and potential hormonal influences.
    • A common embryogenetic origin for intracranial angiomatous malformations is suggested.
    • Despite diagnostic challenges, CH are amenable to radical surgical treatment.

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