CAVERNOUS MALFORMATION OF THE BRAIN STEM WITH SURGICAL RESOLUTION AT THE EUGENIO ESPEJO SPECIALTY HOSPITAL
Keywords:
Cavernous malformation, microsurgery, Rankin scale
Abstract
Cavernous malformations are part of the wide variety of cerebral vascular pathologies. Most commonly, they occur in supratentorial areas of the brain and in a few cases they occur in infratentorial areas, for which the treatment of choice is microsurgery, with beneficial results for the patient and improvement of the clinical picture. The result will always depend greatly on the surgical technique and the expertise of the neurosurgeon.
Below, we report a clinical case of a young adult diagnosed with cavernous malformation with clinical evolution for 10 months who underwent surgery at the Eugenio Espejo Specialty Hospital in the neurosurgery service.
References
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9. Xie MG, Li D, Guo FZ, Zhang LW, Zhang JT, Wu Z, et al. Brainstem Cavernous Malformations: Surgical Indications Based on Natural History and Surgical Outcomes. World Neurosurg. 2018 Feb;110:55–63.
10. Rinkel LA, Al-Shahi Salman R, Rinkel GJ, Greving JP. Radiosurgical, neurosurgical, or no intervention for cerebral cavernous malformations: A decision analysis. Int J Stroke Off J Int Stroke Soc. 2019 Dec;14(9):939–45.
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13. Kikuta KI, Isozaki M, Higashino Y, Kodera T, Arishima H, Matsuda K, et al. Functional Outcomes of Microsurgical Resection for Cavernous Malformations of the Brainstem. Adv Tech Stand Neurosurg. 2022;44:121–32.
14. Nagy G, Burkitt W, Stokes SS, Bhattacharyya D, Yianni J, Rowe JG, et al. Contemporary radiosurgery of cerebral cavernous malformations: Part 1. Treatment outcome for critically located hemorrhagic lesions. J Neurosurg. 2018 Jul 27;1–9.
15. Nagy G, Stokes SS, Erőss LG, Bhattacharyya D, Yianni J, Rowe JG, et al. Contemporary radiosurgery of cerebral cavernous malformations: Part 2. Treatment outcome for hemispheric lesions. J Neurosurg. 2018 Jul 1;1–9.
16. Aboukais R, Estrade L, Devos P, Blond S, Lejeune JP, Reyns N. Gamma Knife Radiosurgery of Brainstem Cavernous Malformations. Stereotact Funct Neurosurg. 2016;94(6):397–403.
17. Kim BS, Kim KH, Lee MH, Lee JI. Stereotactic Radiosurgery for Brainstem Cavernous Malformations: An Updated Systematic Review and Meta-Analysis. World Neurosurg. 2019 Oct;130:e648–59.
2. Li Z, Ma L, Quan K, Liu P, Shi Y, Liu Y, et al. Rehemorrhage of brainstem cavernous malformations: a benchmark approach to individualized risk and severity assessment. J Neurosurg. 2023 Jul 1;139(1):94–105.
3. Velz J, Neidert MC, Yang Y, Akeret K, Nakaji P, Regli L, et al. Mortality in Patients with Brainstem Cavernous Malformations. Cerebrovasc Dis Basel Switz. 2021;50(5):574–80.
4. Albalkhi I, Shafqat A, Bin-Alamer O, Mallela AN, Kuminkoski C, Labib MA, et al. Long-term functional outcomes and complications of microsurgical resection of brainstem cavernous malformations: a systematic review and meta-analysis. Neurosurg Rev. 2023 Sep 20;46(1):252.
5. Flemming KD, Smith E, Marchuk D, Derry WB. Familial Cerebral Cavernous Malformations. In: Adam MP, Feldman J, Mirzaa GM, Pagon RA, Wallace SE, Bean LJ, et al., editors. GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993 [cited 2023 Nov 28]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK1293/
6. Horne MA, Flemming KD, Su IC, Stapf C, Jeon JP, Li D, et al. Clinical course of untreated cerebral cavernous malformations: a meta-analysis of individual patient data. Lancet Neurol. 2016 Feb;15(2):166–73.
7. Li D, Zheng JJ, Weng JC, Liu PP, Wu ZY, Zhang LW, et al. Neurological outcomes of untreated brainstem cavernous malformations in a prospective observational cohort and literature review. Stroke Vasc Neurol. 2021 Dec;6(4):501–10.
8. Akers A, Al-Shahi Salman R, A Awad I, Dahlem K, Flemming K, Hart B, et al. Synopsis of Guidelines for the Clinical Management of Cerebral Cavernous Malformations: Consensus Recommendations Based on Systematic Literature Review by the Angioma Alliance Scientific Advisory Board Clinical Experts Panel. Neurosurgery. 2017 May 1;80(5):665–80.
9. Xie MG, Li D, Guo FZ, Zhang LW, Zhang JT, Wu Z, et al. Brainstem Cavernous Malformations: Surgical Indications Based on Natural History and Surgical Outcomes. World Neurosurg. 2018 Feb;110:55–63.
10. Rinkel LA, Al-Shahi Salman R, Rinkel GJ, Greving JP. Radiosurgical, neurosurgical, or no intervention for cerebral cavernous malformations: A decision analysis. Int J Stroke Off J Int Stroke Soc. 2019 Dec;14(9):939–45.
11. Yang Z, Yu G, Zhu W, Chen L, Song J, Mao Y. The benefit and outcome prediction of acute surgery for hemorrhagic brainstem cavernous malformation with impending respiratory failure. J Clin Neurosci Off J Neurosurg Soc Australas. 2021 Nov;93:213–20.
12. Walcott BP, Choudhri O, Lawton MT. Brainstem cavernous malformations: Natural history versus surgical management. J Clin Neurosci Off J Neurosurg Soc Australas. 2016 Oct;32:164–5.
13. Kikuta KI, Isozaki M, Higashino Y, Kodera T, Arishima H, Matsuda K, et al. Functional Outcomes of Microsurgical Resection for Cavernous Malformations of the Brainstem. Adv Tech Stand Neurosurg. 2022;44:121–32.
14. Nagy G, Burkitt W, Stokes SS, Bhattacharyya D, Yianni J, Rowe JG, et al. Contemporary radiosurgery of cerebral cavernous malformations: Part 1. Treatment outcome for critically located hemorrhagic lesions. J Neurosurg. 2018 Jul 27;1–9.
15. Nagy G, Stokes SS, Erőss LG, Bhattacharyya D, Yianni J, Rowe JG, et al. Contemporary radiosurgery of cerebral cavernous malformations: Part 2. Treatment outcome for hemispheric lesions. J Neurosurg. 2018 Jul 1;1–9.
16. Aboukais R, Estrade L, Devos P, Blond S, Lejeune JP, Reyns N. Gamma Knife Radiosurgery of Brainstem Cavernous Malformations. Stereotact Funct Neurosurg. 2016;94(6):397–403.
17. Kim BS, Kim KH, Lee MH, Lee JI. Stereotactic Radiosurgery for Brainstem Cavernous Malformations: An Updated Systematic Review and Meta-Analysis. World Neurosurg. 2019 Oct;130:e648–59.
Published
2024-08-01
How to Cite
Alvarado, R., Fernández, O., & Chasipanta, J. (2024). CAVERNOUS MALFORMATION OF THE BRAIN STEM WITH SURGICAL RESOLUTION AT THE EUGENIO ESPEJO SPECIALTY HOSPITAL. REFLECTIONS. Scientific Journal of Eugenio Espejo Hospital, 21(2). https://doi.org/10.16921/reflexiones.v21i2.115
Section
Reportes de casos
Copyright (c) 2024 REFLECTIONS. Scientific journal of Eugenio Espejo Hospital
This work is licensed under a Creative Commons Attribution 4.0 International License.
