Cavernous malformations: surgical management in Belo Horizonte Santa Casa Hospital

Cavernous malformations: surgical management in Belo Horizonte Santa Casa Hospital

Autor Faria, Marcello Penteado Google Scholar
Fagundes-Pereyra, Wladimir Jose Google Scholar
Carvalho, Gervásio Teles Cardoso de Google Scholar
Sousa, Atos Alves de Autor UNIFESP Google Scholar
Instituição Fac Ciencias Med Minas Gerais
Universidade Federal de São Paulo (UNIFESP)
Resumo The better understanding of the natural history of the cavernous malformations and the improvement of diagnostic methods and of microsurgical techniques have made the management of cavernous malformations possible through the conservative treatment, radiosurgery, and microsurgical resection. We present 33 cases operated at our service at Santa Casa Hospital, Belo Horizonte, from 1992 to 2001. Cortical and subcortical cavernomas manifested by epilepsy (57.5%) or mainly by hemorrhage (15.1%) were surgically approached, the deep lesions (basal ganglia, talamo and brain steam) represented 27.7% of our cases. They should only be operated when located near the pial or ependimary surface. the resection of spinal cord lesions (5.5%) and of deep brain lesions is also recommended when they present progressive focal deficit (13.8%) or recurrent episodes of hemorrhage (13.8%). Small and deep seated cavernomas that do not present bleeding must be conservatively treated. There has been no evident favourable result related to radiosurgery so far.
Palavra-chave cavernous malformations
clinical presentation
microsurgery
Idioma Português
Data de publicação 2004-12-01
Publicado em Arquivos de Neuro-psiquiatria. São Paulo, SP: Assoc Arquivos de Neuro- Psiquiatria, v. 62, n. 4, p. 1079-1084, 2004.
ISSN 0004-282X (Sherpa/Romeo, fator de impacto)
Publicador Assoc Arquivos de Neuro- Psiquiatria
Extensão 1079-1084
Fonte http://dx.doi.org/10.1590/S0004-282X2004000600027
Direito de acesso Acesso aberto Open Access
Tipo Artigo
Web of Science WOS:000225704800027
SciELO S0004-282X2004000600027 (estatísticas na SciELO)
Endereço permanente http://repositorio.unifesp.br/handle/11600/28031

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