Skip to main content

Advertisement

Log in

Surgical treatment of cavernous angioma involving the brainstem and review of the literature

  • Clinical Articles
  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Summary

Five cases of symptomatic cavernous angioma involving the brainstem are reported. Magnetic resonance (MR) imaging is of greatest value in the diagnosis and for surgical indication. All cases were treated by radical extirpation. All of them improved postoperatively. The surgical indications for this lesion of the brainstem are briefly discussed with a review of the literature, including 28 previous cases, operated on directly.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Bicknell JM, Carlow TJ, Kornfeld M, Stovring J, Turner P (1978) Familial cavernous angiomas. Arch Neurol 35: 746–749

    PubMed  Google Scholar 

  2. Cohen HCM, Tucker WS, Humphreys RP, Perrin RJ (1982) Angiographically cryptic histologically verified cerebrovascular malformations. Neurosurgery 10: 704–714

    PubMed  Google Scholar 

  3. Crawford JV, Russell DS (1956) Cryptic arteriovenous hemartomas of the brain. J Neurol Neurosurg Psychiatry 19: 1–11

    Google Scholar 

  4. Diamond C, Torvik A, Amundsen P (1976) Angiographic diagnosis of teleangiectases with cavernous angioma of the posterior fossa. Acta Radiol [Diagn] (Stockh) 17: 281–288

    Google Scholar 

  5. Ebeling JD, Tranmer BI, Davis KA, Kindt GW, DeMasters BK (1988) Thrombosed arteriovenous malformations: A type of occult vascular malformation. Neurosurgery 23: 605–610

    PubMed  Google Scholar 

  6. Fahlbusch R, Strauss C, Huk W, Röckelein G, Kömpf D, Ruprecht KW (1990) Surgical removal of pontomesencephalic cavernous hemangiomas. Neurosurgery 26: 449–457

    PubMed  Google Scholar 

  7. Giombini S, Morello G (1978) Cavernous angioma of the brain. Account of fourteen personal cases and review of the literature. Acta Neurochir (Wien) 40: 61–82

    Google Scholar 

  8. Hubschmann O, Kasoff S, Doniger D, Llina J, Leed N (1976) Cavernous hemangioma in the pineal region. Surg Neurol 6: 349–351

    PubMed  Google Scholar 

  9. Kashiwagi S, Van Loveren HR, Tew Jr JM, Wiot JG, Weil SM, Lukin RA (1990) Diagnosis and treatment of vascular brainstem malformations. J Neurosurg 72: 27–34

    PubMed  Google Scholar 

  10. Kendall B, Reider-Grosswasser I, Valentine A (1983) Diagnosis of masses within the ventricles on computed tomography. Neuroradiology 25: 11–22

    PubMed  Google Scholar 

  11. Kumabe T, Suzuki M, Yoshimoto T, Suzuki J (1989) A case of cavernous angioma extended from the ventral part of the pons to the midbrain: Subtemporal and trans-tentorial approach (in Japanese). No Shinkei Geka 16: 1193–1197

    Google Scholar 

  12. Lapras C, Lapras Ch, Deruty R, Patet JD, Mottolèse C (1989) Traitement chirurgical des cavernomes intra-cérébraux. Neurochirurgie 35: 120–125

    PubMed  Google Scholar 

  13. Lobato RD, Perez C, Rivas JJ, Cordobes F (1988) Clinical, radiological, and pathological spectrum of angiographically occult intracranial vascular malformations. J Neurosurg 68: 518–531

    PubMed  Google Scholar 

  14. McCormick WF, Hardman JM, Boulter TR (1968) Vascular malformations (“Angiomas”) of the brain, with special reference to those occurring in the posterior fossa. J Neurosurg 28: 241–251

    PubMed  Google Scholar 

  15. Occhiogrosso M, Carella A, D'Aprile P, Vailati G (1983) Brainstem hemangioma calcificans. Case report. J Neurosurg 59: 150–152

    PubMed  Google Scholar 

  16. Ondra SL, Doty JR, Mahla ME, George ED (1988) Surgical excision of a cavernous hemangioma of the rostral brain stem: Case report. Neurosurgery 23: 490–493, 1988

    PubMed  Google Scholar 

  17. Pozzati E, Giuliani G, Nuzzo G, Poppi M (1989) The growth of cerebral cavernous angiomas. Neurosurgery 25: 92–97

    PubMed  Google Scholar 

  18. Roberson GH, Kase CS, Wolpow ER (1974) Telangiectases and cavernous angiomas of the brainstem: “Cryptic” vascular malformations. Report of a case. Neuroradiology 8: 83–89

    PubMed  Google Scholar 

  19. Russell DS, Rubinstein LJ (1989) Pathology of tumors of the nervous system. Edward Arnold, London, pp 727–736

    Google Scholar 

  20. Sarwar M, McCormick WF (1978) Intracerebral venous angioma. Case report and review. Arch Neurol 35: 323–325

    PubMed  Google Scholar 

  21. Seifert V, Gaab MR (1989) Laser-assisted microsurgical extirpation of a brain stem cavernoma: Case report. Neurosurgery 25: 986–990

    PubMed  Google Scholar 

  22. Simard JM, Garcia-Bengochea F, Ballinger Jr WE, Mickle JP, Quisling RG (1986) Cavernous angioma: A review of 126 collected and 12 new clinical cases. Neurosurgery 18: 162–172

    PubMed  Google Scholar 

  23. Stahl SM, Johnson KP, Malamud N (1980) The clinical and pathological spectrum of brain-stem vascular malformations. Long-term course stimulates multiple sclerosis. Arch Neurol 37: 25–29

    PubMed  Google Scholar 

  24. Vaquero J, Carrillo R, Cabezudo J, Leunda G, Villoria F, Bravo G (1980) Cavernous angioma of the pineal region. Report of two cases. J Neurosurg 53: 833–835

    PubMed  Google Scholar 

  25. Vaquero J, Salazar J, Martinez R, Martinez P, Bravo G (1987) Cavernomas of the central nervous system: Clinical syndromes, CT scan diagnosis, and prognosis after surgical treatment in 25 cases. Acta Neurochir (Wien) 85: 29–33

    Google Scholar 

  26. Wilkins RH (1985) Natural history of intracranial vascular malformations: A review. Neurosurgery 16: 421–430

    PubMed  Google Scholar 

  27. Yoshimoto T, Suzuki J (1986) Radical surgery on cavernous angioma of the brainstem. Surg Neurol 26: 72–78

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sakai, N., Yamada, H., Tanigawara, T. et al. Surgical treatment of cavernous angioma involving the brainstem and review of the literature. Acta neurochir 113, 138–143 (1991). https://doi.org/10.1007/BF01403199

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01403199

Keywords

Navigation