Cavernous angioma (patient information): Difference between revisions

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==Overview==
==Overview==
Cavernous angiomas are vascular malformations with thin-walled endothelial-lining. It has two types: sporadic or familial with [[autosomal dominant inheritance]].
Cavernous angiomas are [[vascular malformations]] with thin-walled endothelial-lining. It has two types: sporadic or familial with [[autosomal dominant inheritance]].


==What are the symptoms of cavernous angioma?==
==What are the symptoms of cavernous angioma?==
Clinical presentations of cavernous angioma vary depending on where the lesion is found. Symptoms include [[headache]], [[seizures]], [[hemorrhage]] and focal neurologic deficits.<ref name="pmid32731220">{{cite journal| author=Idiculla PS, Gurala D, Philipose J, Rajdev K, Patibandla P| title=Cerebral Cavernous Malformations, Developmental Venous Anomaly, and Its Coexistence: A Review. | journal=Eur Neurol | year= 2020 | volume= 83 | issue= 4 | pages= 360-368 | pmid=32731220 | doi=10.1159/000508748 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=32731220  }} </ref>
Clinical presentations of cavernous angioma vary depending on where the lesion is found. Symptoms include [[headache]], [[seizures]], [[hemorrhage]] and focal neurologic deficits.  


==What causes cavernous angioma?==
==What causes cavernous angioma?==
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*The exact cause of cavernous angioma is still unknown.
*The exact cause of cavernous angioma is still unknown.


*However, it is believed that it usually develops as a form of compensation to the lack of normal vessels brought about by [[hypoplasia]], [[aplasia]], or early occlusion of newly formed-veins.<ref name="pmid27250700">{{cite journal| author=Aoki R, Srivatanakul K| title=Developmental Venous Anomaly: Benign or Not Benign. | journal=Neurol Med Chir (Tokyo) | year= 2016 | volume= 56 | issue= 9 | pages= 534-43 | pmid=27250700 | doi=10.2176/nmc.ra.2016-0030 | pmc=5027236 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27250700  }} </ref><br />
*However, it is believed that it usually develops as a form of compensation to the lack of normal vessels brought about by [[hypoplasia]], [[aplasia]], or early occlusion of newly formed-veins.<br />


==Who is at highest risk?==
==Who is at highest risk?==
Patients with family history of cavernous angioma are at high risk of having this disease. Genetic testing is advised.


==Diagnosis==
==Diagnosis==
Imaging studies, particularly the magnetic resonance imaging (MRI) are usually used to detect cavernous angioma.


==When to seek urgent medical care?==
==When to seek urgent medical care?==
If symptoms such as [[seizure]], [[headache]], or [[progressive neurologic deficit]] develop, immediate consultation should be done to evaluate for possible new bleeding or cavernous angioma.


==Treatment options==
==Treatment options==
* conservative management
* [[surgical resection]]
* [[stereotactic radiosurgery]]


==Where to find medical care for cavernous angioma?==
==Where to find medical care for cavernous angioma?==


==Prevention==
==Prevention==
[[Genetic testing]] should be done.


==What to expect (outlook/perspective)==
==What to expect (outlook/perspective)==
Cavernous angioma is usually benign and does not produce life-threatening bleeding.


==Possible complications==
==Possible complications==
* bleeding
* progressive neurologic deficit


==References==
==References==

Revision as of 14:03, 23 February 2022

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Edzel Lorraine Co, D.M.D., M.D.

Overview

Cavernous angiomas are vascular malformations with thin-walled endothelial-lining. It has two types: sporadic or familial with autosomal dominant inheritance.

What are the symptoms of cavernous angioma?

Clinical presentations of cavernous angioma vary depending on where the lesion is found. Symptoms include headache, seizures, hemorrhage and focal neurologic deficits.

What causes cavernous angioma?

  • The exact cause of cavernous angioma is still unknown.
  • However, it is believed that it usually develops as a form of compensation to the lack of normal vessels brought about by hypoplasia, aplasia, or early occlusion of newly formed-veins.

Who is at highest risk?

Patients with family history of cavernous angioma are at high risk of having this disease. Genetic testing is advised.

Diagnosis

Imaging studies, particularly the magnetic resonance imaging (MRI) are usually used to detect cavernous angioma.

When to seek urgent medical care?

If symptoms such as seizure, headache, or progressive neurologic deficit develop, immediate consultation should be done to evaluate for possible new bleeding or cavernous angioma.

Treatment options

Where to find medical care for cavernous angioma?

Prevention

Genetic testing should be done.

What to expect (outlook/perspective)

Cavernous angioma is usually benign and does not produce life-threatening bleeding.

Possible complications

  • bleeding
  • progressive neurologic deficit

References