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Intracranial cavernous angioma: presentation and management.
Journal of Neurosurgery
|May 1, 1986
Summary
Cerebral cavernous angiomas present variably, often with seizures or hemorrhage. Early CT findings can suggest this diagnosis, leading to favorable surgical outcomes.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Background:
- Cerebral cavernous angiomas are vascular malformations requiring accurate diagnosis.
- Review of radiological and pathological features is crucial for understanding these lesions.
Observation:
- Thirteen cases of cerebral cavernous angiomas were analyzed.
- Clinical presentations included seizures (53.8%), intracerebral hemorrhage (30.8%), and focal neurological deficits.
- One case mimicked a cerebellopontine angle tumor.
Findings:
- Computerized tomography (CT) scans were abnormal in all cases.
- Angiography was diagnostic only when associated with mass effect from hematoma.
- Surgery in 12 cases yielded good results.
- The overall prognosis was favorable with no mortality.
Implications:
- A recent seizure disorder combined with a hyperdense intracerebral nodule on CT should raise suspicion for cavernous angioma.
- Prompt diagnosis and surgical intervention can lead to favorable outcomes.
- This highlights the importance of CT in diagnosing cavernous angiomas.