Cavernous angioma surgery: Difference between revisions
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==Surgery== | ==Surgery== | ||
*[[Surgical resection]] is the most preferred intervention for cavernous angioma. | *[[Surgical resection]] is the most preferred [[intervention]]for [[cavernous angioma]]. | ||
*[[Complete resection]] is needed as remnant tissue can cause high risk of seizure and hemorrhage.<ref name="pmid29535273">{{cite journal| author=Stapleton CJ, Barker FG| title=Cranial Cavernous Malformations: Natural History and Treatment. | journal=Stroke | year= 2018 | volume= 49 | issue= 4 | pages= 1029-1035 | pmid=29535273 | doi=10.1161/STROKEAHA.117.017074 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29535273 }} </ref> | *[[Complete resection]] is needed as remnant [[tissue]] can cause [[high risk]] of [[seizure]] and [[hemorrhage]].<ref name="pmid29535273">{{cite journal| author=Stapleton CJ, Barker FG| title=Cranial Cavernous Malformations: Natural History and Treatment. | journal=Stroke | year= 2018 | volume= 49 | issue= 4 | pages= 1029-1035 | pmid=29535273 | doi=10.1161/STROKEAHA.117.017074 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29535273 }} </ref> | ||
*Factors that complicate procedure include: | *Factors that complicate procedure include: | ||
** | **Presence of [[gliosis]] | ||
**[[ | **[[Calcification]] | ||
** | **[[Hyaline degeneration]] <ref name="pmid12826334">{{cite journal| author=Wang CC, Liu A, Zhang JT, Sun B, Zhao YL| title=Surgical management of brain-stem cavernous malformations: report of 137 cases. | journal=Surg Neurol | year= 2003 | volume= 59 | issue= 6 | pages= 444-54; discussion 454 | pmid=12826334 | doi=10.1016/s0090-3019(03)00187-3 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12826334 }} </ref> | ||
*If seizure surgery occurs, hemosiderin ring should be removed.<ref name="pmid18754072">{{cite journal| author=Cenzato M, Stefini R, Ambrosi C, Giovanelli M| title=Post-operative remnants of brainstem cavernomas: incidence, risk factors and management. | journal=Acta Neurochir (Wien) | year= 2008 | volume= 150 | issue= 9 | pages= 879-86; discussion 887 | pmid=18754072 | doi=10.1007/s00701-008-0008-4 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18754072 }} </ref> | *If [[seizure surgery]] occurs, [[hemosiderin ring]] should be removed.<ref name="pmid18754072">{{cite journal| author=Cenzato M, Stefini R, Ambrosi C, Giovanelli M| title=Post-operative remnants of brainstem cavernomas: incidence, risk factors and management. | journal=Acta Neurochir (Wien) | year= 2008 | volume= 150 | issue= 9 | pages= 879-86; discussion 887 | pmid=18754072 | doi=10.1007/s00701-008-0008-4 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18754072 }} </ref> | ||
* | * | ||
Revision as of 12:07, 11 March 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.
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Overview
Surgery is the mainstay treatment for cavernous angioma. Complete surgical resection should be done to prevent seizures and hemorrhage due to remnant tissue.
Indication
Surgery
- Surgical resection is the most preferred interventionfor cavernous angioma.
- Complete resection is needed as remnant tissue can cause high risk of seizure and hemorrhage.[1]
- Factors that complicate procedure include:
- Presence of gliosis
- Calcification
- Hyaline degeneration [2]
- If seizure surgery occurs, hemosiderin ring should be removed.[3]
References
- ↑ Stapleton CJ, Barker FG (2018). "Cranial Cavernous Malformations: Natural History and Treatment". Stroke. 49 (4): 1029–1035. doi:10.1161/STROKEAHA.117.017074. PMID 29535273.
- ↑ Wang CC, Liu A, Zhang JT, Sun B, Zhao YL (2003). "Surgical management of brain-stem cavernous malformations: report of 137 cases". Surg Neurol. 59 (6): 444–54, discussion 454. doi:10.1016/s0090-3019(03)00187-3. PMID 12826334.
- ↑ Cenzato M, Stefini R, Ambrosi C, Giovanelli M (2008). "Post-operative remnants of brainstem cavernomas: incidence, risk factors and management". Acta Neurochir (Wien). 150 (9): 879–86, discussion 887. doi:10.1007/s00701-008-0008-4. PMID 18754072.