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[Intracranial cavernoma. 30 cases]

M Lonjon1, J L Roche, B George

  • 1Service de Neurochirurgie, Hôpital Pasteur, Nice.

Presse Medicale (Paris, France : 1983)
|June 12, 1993
PubMed
Summary
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Intracranial cavernous angiomas, congenital vascular malformations, present with epilepsy or hemorrhage. Surgical excision is the preferred treatment, offering successful outcomes and reduced seizure frequency.

Area of Science:

  • Neurology
  • Neurosurgery
  • Vascular Malformations

Context:

  • Improved neurodiagnostic procedures have increased intracranial cavernous angioma detection.
  • Cavernous angiomas are congenital vascular malformations often found in young adults.
  • Diagnosis is enhanced by CT scans and MRI.

Purpose:

  • To present a series of 30 cases with 32 intracranial cavernous angiomas.
  • To analyze the clinical presentation, treatment, and outcomes of these lesions.
  • To review the current understanding and management of cavernous angiomas.

Summary:

  • 32 cavernous angiomas were identified in 30 patients, with 21 undergoing successful surgical treatment.
  • The majority (75%) were supratentorial, commonly presenting with epilepsy (53%), hemorrhage (23.5%), or mass effect (23.5%).

Related Experiment Videos

  • Total surgical excision is the treatment of choice, effectively managing symptoms and preventing hemorrhage with low postoperative morbidity.

    • Impact:

    • Surgical intervention for intracranial cavernous angiomas leads to successful outcomes and reduced seizure frequency.
    • This study contributes to understanding the natural history and optimal management of these vascular malformations.
    • Highlights the effectiveness of surgical excision in improving patient quality of life.