Stereotactic-guided surgery for cavernous angiomas

• Published in: Arquivos de neuro-psiquiatria Vol. 58; no. 1; pp. 71 - 75
• Main Authors: Meneses, M S, Dallolmo, V C, Kondageski, C, Ramina, R, Hunhevicz, S, Pedrozo, A A
• Format: Journal Article
• Language: Portuguese
• Published: Brazil 01.03.2000
• Subjects: Adult; Brain Neoplasms - diagnosis; Brain Neoplasms - surgery; Female; Hemangioma, Cavernous - diagnosis; Hemangioma, Cavernous - surgery; Humans; Magnetic Resonance Imaging; Male; Middle Aged; Stereotaxic Techniques
• ISSN: 0004-282X

Intracerebral cavernous angiomas may cause hemorrhage, epileptic seizures and neurological deficits. The diagnosis of these lesions became easier with the advent of the magnetic resonance image (MRI). Radical resection is the treatment of choice. Due to frequent subcortical or deep location, image-guided techniques, such as stereotactic-guided surgery, offer many advantages as smaller skin incision and craniotomy, less brain manipulation with consequently lower morbidity. We present a series of nine cavernous angiomas treated by stereotactic-guided radical surgical resection. The diagnosis was done by MRI and confirmed by pathologic studies in all cases. Mean age of patients was 30 years old (range 20-54 years). Postoperative morbidity occurred in two cases: one patient had a convulsion on the third postoperative day and the other presented dysphasia and hemiparesis on the second postoperative day, both with total recovery. Total resection of the lesion was possible in all cases with no neurological deficit.