Intracranial cavernomas: Analysis of 37 cases and literature review
AIMS: Thirty-seven patients with intracranial cavernomas managed in our department are retrospectively analyzed. MATERIALS AND METHODS: The data of 37 patients with cavernoma who were admitted to our department between 1995 and 2003 were reviewed retrospectively. There were 30 male and 7 female pati...
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Published in | Neurology India Vol. 52; no. 4; pp. 439 - 442 |
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Main Author | |
Format | Journal Article |
Language | English |
Published |
India
Medknow Publications on behalf of the Neurological Society of India
01.12.2004
Medknow Publications & Media Pvt. Ltd |
Subjects | |
Online Access | Get full text |
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Summary: | AIMS: Thirty-seven patients with intracranial cavernomas managed in
our department are retrospectively analyzed. MATERIALS AND METHODS:
The data of 37 patients with cavernoma who were admitted to our
department between 1995 and 2003 were reviewed retrospectively. There
were 30 male and 7 female patients with a median age of 26 years
(range, 9-57 years). Four cases were treated surgically, 13 were
treated by stereotactic radiosurgery (SRS) and the remainder were
managed conservatively. RESULTS: New hemorrhage or additional
neurological deficits were not observed in the surgically treated
cases, 12 patients who underwent SRS and the other patients who were
followed up. One of the 13 patients treated by SRS, underwent
microsurgery due to increased seizure frequency. One of the patients
treated surgically died on the 11th postoperative day. CONCLUSION:
Clinical observation should be the choice of management for patients
without new or progressive neurological deficits, without two or more
hemorrhages and in patients where the seizures are controlled with
drugs. Surgery is the first choice for the cavernomas located in the
non-eloquent locations. Radiosurgery may be an alternative for patients
having deep-seated and eloquent area located cavernomas and for
patients not willing or suitable for surgery. |
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Bibliography: | ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 |
ISSN: | 0028-3886 1998-4022 |