Hemorrhagic progression of cavernous angiomas: a review

2018 ◽  
Vol 3 ◽  
Keyword(s):  
2002 ◽  
Vol 42 (2) ◽  
pp. 67-72 ◽  
Author(s):  
Yasuhiko HAYASHI ◽  
Yasuo TOHMA ◽  
Masanao MOURI ◽  
Tetsumori YAMASHIMA ◽  
Junkoh YAMASHITA

2010 ◽  
Vol 91 (1) ◽  
pp. 106-110 ◽  
Author(s):  
Joseph A. Maciunas ◽  
Tanvir U. Syed ◽  
Mark L. Cohen ◽  
Mary Ann Werz ◽  
Robert J. Maciunas ◽  
...  

1996 ◽  
Vol 25 (2) ◽  
pp. 105-108 ◽  
Author(s):  
John N.K. Hsiang ◽  
Ho-Keung Ng ◽  
Raymond K.Y. Tsang ◽  
Wai-Sang Poon
Keyword(s):  

2012 ◽  
Vol 27 (2) ◽  
pp. 175-180 ◽  
Author(s):  
P. J. Slotty ◽  
C. Ewelt ◽  
S. Sarikaya-Seiwert ◽  
H.-J. Steiger ◽  
J. Vesper ◽  
...  
Keyword(s):  

1974 ◽  
Vol 8 (2) ◽  
pp. 83-89 ◽  
Author(s):  
G. H. Roberson ◽  
C. S. Kase ◽  
E. R. Wolpow

2020 ◽  
Vol 11 ◽  
pp. 255
Author(s):  
Levan Teymurazovich Lepsveridze ◽  
Maksim Sergeevich Semenov ◽  
Armen Samvelovich Simonyan ◽  
Salome Zurabovna Pirtskhelava ◽  
Georgy Garikovich Stepanyan ◽  
...  

Background: Modern technical capabilities have made minimally invasive surgery increasingly popular. Small incisions can reduce surgical duration and the degree of tissue trauma, which reduces the risk of complications. Burr hole microsurgery is a relatively new minimally invasive technique used in neurosurgery. The objective of this study was to assess the feasibility and outcomes of using burr hole microsurgery for the management of intracranial lesions. Methods: Forty-four adults were treated with burr hole microsurgery. Patients were divided into groups according to the presence of (1) brain tumors (n = 20); (2) congenital brain cysts (n = 16); (3) cavernous angiomas (n = 3); and (4) neurovascular conflicts of the 5th cranial nerve (n = 5). All surgical interventions were performed using the “MARI” device. Results: The transcortical approach was used to remove 16 brain tumors, and 2 brain tumors were biopsied. In the two tumor biopsy cases, the parasagittal interhemispheric route was used. Gross total resection was achieved in 10 cases (62.5%) when tumor size reached up to 4 cm, subtotal resection was achieved in four cases (25%) in large tumors, and partial resection in two cases (12.5%). In patients with congenital cysts, cavernous angiomas, trigeminal neuralgia, and symptomatic regression were noted the postoperative period. The surgical duration was 30–180 min (median, 75 min). A hemorrhagic complication was observed in one case. Significant postoperative complications and mortality were not observed. Conclusion: Burr hole microsurgery can treat different intracranial lesions effectively. Despite a smaller craniotomy diameter of 11–14 mm compared with keyhole approaches, surgery was successful.


1996 ◽  
Vol 38 (7) ◽  
pp. 641-645 ◽  
Author(s):  
T. Mori ◽  
M. Fujimoto ◽  
K. Sakae ◽  
K. Shimada ◽  
H. Shin ◽  
...  

1990 ◽  
Vol 73 (4) ◽  
pp. 555-559 ◽  
Author(s):  
John R. Little ◽  
Issam A. Awad ◽  
Stephen C. Jones ◽  
Zeyd Y. Ebrahim

✓ This study was designed to investigate the hemodynamic characteristics of cavernous angiomas of the brain. Five adult patients with a cavernous angioma underwent local cortical blood flow studies and vascular pressure measurements during surgery for the excision of the cavernous angioma. Clinical presentation included headache in four patients, seizures in four patients, and recurring diplopia in one patient. Magnetic resonance imaging demonstrated the cavernous angiomas in all patients and revealed an associated small hematoma in two. Four patients with a cerebral cavernous angioma were operated on in the supine position and the remaining patient, whose lesion involved the brain stem, was operated on in the sitting position. Mean local cortical blood flow (± standard error of the mean) in the cerebral cortex adjacent to the lesion was 60.5 ± 8.3 ml/100 gm/min at a mean PaCO2 of 35.0 ± 0.6 torr. Mean CO2 reactivity was 1.1 ± 0.2 ml/100 gm/min/torr. The local cortical blood flow results were similar to established normal control findings. Mean pressure within the lesion in the patients undergoing surgery while supine was 38.2 ± 0.5 mm Hg; a slight decline in cavernous angioma pressure occurred with a drop in mean systemic arterial blood pressure and PaCO2. Mean pressure in the cavernous angioma in the patient operated on in the sitting position was 7 mm Hg. Jugular compression resulted in a 9-mm Hg rise in cavernous angioma pressure in one supine patient but no change in the patient in the sitting position. Direct microscopic observation revealed slow circulation within the lesions. The hemodynamic features demonstrated in this study indicate that cavernous angiomas are relatively passive vascular anomalies that are unlikely to produce ischemia in adjacent brain. Frank hemorrhage would be expected to be self-limiting because of relatively low driving pressures.


2007 ◽  
Vol 47 (4) ◽  
pp. 178-181 ◽  
Author(s):  
Shigeru MIYAKE ◽  
Yoshito UCHIHASHI ◽  
Yoshiaki TAKAISHI ◽  
Yoshio SAKAGAMI ◽  
Eiji KOHMURA

Sign in / Sign up

Export Citation Format

Share Document