Surgical management of brain cavernomas in children

Pediatric Neurosurgery
George A AlexiouNeofytos Prodromou

Abstract

Cavernous hemangiomas are benign vascular hamartomas caused by developmental malformations of the vascular bed. They can be found in 0.3-0.7% of the population, whereas one fourth of these lesions occur in children. In the present study, we report on 16 cases of cavernomas surgically treated in our institute. From each patient's file, the age, sex, lesion location, symptoms and follow-up were analyzed. The most commonly presenting symptom was epilepsy. Radiological signs of acute hemorrhage were observed in 3 cases. Three children had multiple cavernomas. The parietal lobe was the most common site of occurrence, whereas only 2 cavernomas were infratentorial. There was no operative mortality. Postoperatively, there was no additional neurological deficit, and all patients gradually improved. In a case of pontine cavernoma, there was a need for reoperation due to rebleeding. With the improvement of microsurgical techniques and modern neuroimaging, nearly all cavernomas can be safely removed. Total resection is associated with patients' clinical improvement and seizure control.

Citations

Jul 3, 2010·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·George A Alexiou, Neofytos Prodromou
Dec 5, 2012·International Journal of Endocrinology·J Jankauskiene, D Jarusaitiene
Jul 10, 2012·Journal of Neurosurgery. Pediatrics·George A AlexiouNeofytos Prodromou
Aug 9, 2011·Journal of Neurosurgery·Dario J EnglotEdward F Chang
Aug 27, 2013·Journal of Neurosurgery. Pediatrics·Bradley A GrossR Michael Scott
Jan 3, 2012·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·George A AlexiouMaria Moschovi
Jul 29, 2011·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Jianping SongYao Zhao
Dec 21, 2010·European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society·George A AlexiouNeofytos Prodromou
May 14, 2010·The Journal of Pediatrics·George A AlexiouMaria Moschovi
May 15, 2013·Clinical Radiology·O NikoubashmanF Di Rocco
Apr 27, 2018·Journal of Child Neurology·Chengjun WangJizong Zhao
Jun 22, 2017·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Dattaraj Paramanand SawarkarAshok Kumar Mahapatra

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Cavernous Hemangioma

Cavernous hemangioma is a blood vessel defect or benign tumor that leads to leakage of blood to the surrounding tissues. This can occur in several organs including the brain, which can lead to seizures. Discover the latest research on cavernous hemangiomas here.

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