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[Intracerebral cavernous angioma].

M Weber1, H Vespignani, S Bracard

  • 1Service de Neurologie, C.H.U. Nancy.

Revue Neurologique
|January 1, 1989
PubMed
Summary
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Cavernous angiomas present with epilepsy or neurological deficits. Long-term follow-up suggests a low risk of hemorrhage, guiding neurosurgery decisions based on lesion location and surgical risks.

Area of Science:

  • Neurology
  • Neurosurgery
  • Vascular Neurology

Background:

  • Cavernous angiomas are vascular malformations that can occur in the brain.
  • These lesions can lead to significant neurological symptoms and pose surgical challenges.

Observation:

  • This study reports on 34 cases of cavernous angioma, divided into operated (18) and non-operated (16) groups.
  • Presenting symptoms included epilepsy (22 cases), neurological deficit (9 cases), and cerebromeningeal hemorrhage (3 cases).
  • Operated angiomas were predominantly supratentorial (15 cases), while non-operated cases often presented with epilepsy or brainstem lesions.

Findings:

  • Epilepsy was the most common symptom, observed in 22 patients.
  • Neurological deficits were associated with lesion location, particularly in the brainstem for non-operated cases.

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  • Long-term follow-up (2-39 years post-symptom onset, 1-7 years post-diagnosis) indicated a low risk of hemorrhage.

    • Implications:

    • The findings suggest that neurosurgical intervention for cavernous angiomas should carefully consider the lesion's location and the associated surgical risks.
    • Understanding the natural history and risk factors for hemorrhage is crucial for patient management.
    • This data aids in refining indications for surgery in cavernous angioma cases.