Document Detail

Microsurgical resection of supratentorial cerebral cavernomas.
MedLine Citation:
PMID:  20669108     Owner:  NLM     Status:  In-Process    
AIM: More than two thirds of cerebral cavernomas are located supratentorially. The transsulcal approach without excision of the perilesional gliotic parenchyma and simple lesionectomy are keys to surgery on eloquent areas. MATERIAL AND METHODS: We present 11 supratentorial cerebral cavernomas operated between 2003 and 2007 with signs of seizures in six and focal neurological deficit in four cases. The age ranged from 19 years to 69 years with a mean of 40 years and the male/female ratio was 6:5. The mean follow-up was 26 months. RESULTS: All lesions were lobar and the size ranged between 18 and 48 mm. Four were located in eloquent areas and two were deeply seated. Total lesionectomy was performed in all without major complications. A gliotic hemosiderin ring was noted in 7 and resected in 5 of them. Postoperative outcome was improved in all patients with complete seizure control in four. Seizure control was partial in 2 of the cases without any recurrence or residual mass. CONCLUSION: Asymptomatic cerebral cavernomas should be followed with regular MR scans. Symptomatic ones in noneloquent or accessible areas should be resected. Deeply situated cavernomas in eloquent areas should also be resected with the guidance of fMRI and stereotactic marking if available.
Ergun Daglioglu; Fikret Ergungor; Ersin Polat; Osman Nacar
Related Documents :
23572098 - Elbow arthroscopic surgery update for sports medicine conditions.
24096768 - Waist circumference and waist/hip ratio are better predictive risk factors for mortalit...
7027928 - Stereotactic fields of forel interruption for intractable epilepsy.
1944908 - Complex partial seizures and small posterior temporal or extratemporal structural lesio...
17006348 - Auditory function in patients with surgically treated superior semicircular canal dehis...
1916518 - Necrotizing fasciitis: a complication of squamous cell carcinoma of the vulva.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Turkish neurosurgery     Volume:  20     ISSN:  1019-5149     ISO Abbreviation:  Turk Neurosurg     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9423821     Medline TA:  Turk Neurosurg     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  348-52     Citation Subset:  IM    
Ankara Numune Education and Research Hospital, Department of Neurosurgery Ankara, Turkey.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  The addition of metamizole to morphine and paracetamol improves early postoperative analgesia and pa...
Next Document:  The mini incision technique for carpal tunnel decompression using nasal instruments.