Türk Nöroşirürji Dergisi 2016 , Vol 26 , Num 3
Cavernous Angiomas
Gökhan ÇAVUŞ1, Yurdal GEZERCAN1, Vedat AÇIK1, Fulya ADAMHASAN2, Burak OLMAZ1, Ali İhsan ÖKTEN1
1Adana Numune Eğitim ve Araştırma Hastanesi, Nöroşirürji Kliniği, Adana, Türkiye
2Adana Numune Eğitim ve Araştırma Hastanesi, Patoloji Kliniği, Adana, Türkiye
AIM: Cerebral cavernous hemangiomas are rare hamartom of vascular structures. Cavernous angiomas, which consists of a single layer completely free of glial or neural tissues, are formed from a collagen structure similar to the sinusoidal cells covered with endothelial cells. After the developmental abnormalities of vascular and capillary telangiectasia vascular malformations are the third most common seen, forms 5-16% of intracranial vascular malformations.

MATERIAL and METHODS: Cranial and spinal cavernoma patients who were operated in our clinic between 2011-2016 were evaluated retrospectively in this article.

RESULTS: 12 patients were men and 13 were women,and mean age was 38.4 years. Seventeen were supratentorial lesions, 2 infratentorial, and 1 was intraorbital lesion. Five were located in the spine. Epilepsy was present in 12 patients, hemorrhage in 3, paraparesia in 3, truncal ataxia in 2, diplopia in 1, hydrocephalus in 1, urinary incontinence in 1 patient. Cavernous angiomas were totally excised in all patients. In the postoperative period, 2 of our patients who were operated on for spinal cavernoma evolved increase in paraparesis. Three months of postoperative follow-up of patients showed improvement in paraparesis. Control computed tomography and magnetic resonance imaging (MRI) of the brain were not revealed any abnormality.

CONCLUSION: Surgical excision should be performed in symptomatic cavernous angiomas. Critically located and asymptomatic lesions can also be followed-up by periodical MRI scans. Surgical treatment should be taken into consideration in patients with refractory epileptic seizures and recurrent bleeding that can cause neurological deterioration. Anahtar Kelimeler : Cavernous hemangioma, Hamartoma, Vascular malformation, Orbit