Cavernous Malformation of the Central Nervous System; Diagnosis and Surgical Management
Chafik HANDIS1*, Yacine FELISSI2, Salim MEZIANI3 and Abdelhalim MORSLI4
1Mohamed Lamine Debaghine University Hospital, Department of Neurosurgery, Algiers university, Faculty of Medicine, Algiers, Algeria.
2Assistant Consultant Neurosurgeon, Algiers university – Faculty of Medicine, Algiers, Algeria.
3Associate Professor Neurosurgeon, Algiers university – Faculty of Medicine, Algiers, Algeria.
4Professor and Head of Neurosurgery Department, Algiers university – Faculty of Medicine, Algiers, Algeria.
*Corresponding Author: Dr. Chafik HANDIS, Mohamed Lamine Debaghine University Hospital, Department of Neurosurgery, Algiers university, Faculty of Medicine, Algiers, Algeria.
Received: September 24, 2022 Published: October 19, 2022
Abstract
Background: Cavernoma is grouped within vascular malformations and could affect the whole of the central nervous system. They are angiographically occult lesions, with a low flow dynamism. Their management is capital to stop the progression of several consequences such as epilepsy and neurological deficit.
Material and Methods: The work is a retrospective study for all operated patients with cavernous malformations. We have reviewed the charts of 42 patients, but included 27 in the present work that had complete studied parameters.
Results: The consequent topographical repartition was; 19 patients harboring cavernoma in the cerebrum, 4 patients in the brainstem, and 4 others in the spinal cord. We had 100% of gross total resection in the cerebrum and the spinal cord and 75% in the brainstem. We didn’t have any cases of mortality or morbidity. We had heterogeneous data about long-term fellow up but most of the patients had a regression of their postoperative complications, especially for cranial nerves for the brainstem location.
Conclusion: Microsurgical removal of cavernomas is an effective modality to avoid the onset of severe neurological deficit or further their progression without significant morbidity. The timing of surgery and appropriate technics must be performed to achieve such results. The reduction of other therapeutic modalities will prompt more anatomical studied and surgical approaches to resect more deep-seated malformations.
Keywords: Microsurgery, Cavernoma, Haemorrhage, Seizures.
Citation: HANDIS C, FELISSI Y, MEZIANI S, MORSLI A. “Cavernous Malformation of the Central Nervous System; Diagnosis and Surgical Management”. SVOA Neurology 2022, 3:5, 214-225.
