The case of surgical treatment of cerebellar cavernous angioma
https://doi.org/10.17802/2306-1278-2018-7-4S-151-156
Abstract
The article presents the results of the successful surgical treatment of the young patient with cerebellar cavernous angioma. The patient underwent posterior fossa craniotomy followed by stereotactic resection of cavernous angioma and acute hematoma in the left cerebellar hemisphere. The chosen surgical approach allowed preventing the development of obstructive hydrocephaly and compression of the brainstem, which may lead to cardiovascular failure, impaired consciousness and death. We concluded that this surgical strategy appeared to be effective.
About the Authors
A. N. Kazantsev
Federal State Budgetary Institution Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Competing Interests: Нет конфликта интересов
Russian Federation
Kazantsev Anton N. - MD, cardiovascular surgeon at the Neurosurgery Department.
6, Sosnoviy Blvd., Kemerovo, 650002
Competing Interests: Нет конфликта интересов
A. R. Shabaev
State Budgetary Healthcare Institution of the Kemerovo Region Kemerovo Regional Clinical Cardiology Dispensary n.a. Academician L.S. Barbarash
Russian Federation
Competing Interests: Нет конфликта интересов
Russian Federation
Shabaev Amin R. - MD, neurosurgeon at the Neurosurgery Department.
6, Sosnoviy Blvd., Kemerovo, 650002
Competing Interests: Нет конфликта интересов
R. S. Tarasov
Federal State Budgetary Institution Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Competing Interests: Нет конфликта интересов
Russian Federation
Tarasov Roman S. - MD, PhD, the Head of the Cardiac Surgery Department, the Head of the Laboratory of Reconstructive Surgery of Multivessel and Polyvascular Diseases.
6, Sosnoviy Blvd., Kemerovo, 650002
Competing Interests: Нет конфликта интересов
A. V. Mironov
State Budgetary Healthcare Institution of the Kemerovo Region Kemerovo Regional Clinical Cardiology Dispensary n.a. Academician L.S. Barbarash
Russian Federation
Competing Interests: Нет конфликта интересов
Russian Federation
Mironov Andrei V. - MD, the Head of the Neurosurgery Department.
6, Sosnoviy Blvd., Kemerovo, 650002
Competing Interests: Нет конфликта интересов
N. K. Firsov
State Budgetary Healthcare Institution of the Kemerovo Region Kemerovo Regional Clinical Cardiology Dispensary n.a. Academician L.S. Barbarash
Russian Federation
Competing Interests: Нет конфликта интересов
Russian Federation
Firsov Nikita K., MD - neurosurgeon at the Neurosurgery Department.
6, Sosnoviy Blvd., Kemerovo, 650002
Competing Interests: Нет конфликта интересов
E. V. Ruban
State Budgetary Healthcare Institution of the Kemerovo Region Kemerovo Regional Clinical Cardiology Dispensary n.a. Academician L.S. Barbarash
Russian Federation
Competing Interests: Нет конфликта интересов
Russian Federation
Ruban Elena V. - MD, neurologist at the Neurosurgery Department.
6, Sosnoviy Blvd., Kemerovo, 650002
Competing Interests: Нет конфликта интересов
N. N. Burkov
State Budgetary Healthcare Institution of the Kemerovo Region Kemerovo Regional Clinical Cardiology Dispensary n.a. Academician L.S. Barbarash
Russian Federation
Competing Interests: Нет конфликта интересов
Russian Federation
Burkov Nikolay N. - MD, PhD, cardiovascular surgeon.
6, Sosnoviy Blvd., Kemerovo, 650002
Competing Interests: Нет конфликта интересов
References
1. Nie Q., Chen Z., Jian F.-Z., Wu H., Ling F. CavernousAngioma of the Cauda Equina: A Case Report and Systematic Review of the Literature. Journal of International Medical Research. 2012; 40 (5): 2001-2008. Doi: https://doi.org/10.1177/030006051204000542
2. Kodeeswaran М., Udesh R., Ramya L., Kumar S. J. Multiple cerebrospinal cavernous angiomas. Journal of Surgical Case Reports. 2016; 9: 157 Doi: https://doi.org/10.1093/jscr/rjw157
3. Schneble H-M., Soumare A. Antithrombotic Therapy and Bleeding Risk in a Prospective Cohort Study of Patients With Cerebral Cavernous Malformations. Stroke. 2012; 43(12):3196-9. doi: 10.1161/STROKEAHA.112.668533.
4. Oliveira J., Rassi-Neto A., Ferraz F.A., Braga FM. Neurosurgical Management of Cerebellar Cavernous Malformations. Neurosurg Focus. 2006; 21(1): 1-5.
5. Bilginer B, Narin F., Hanalioglu S., Oguz K.K., Soylemezoglu F., Akalan N. Cavernous malformations of the central nervous system (CNS) in children: clinico-radiological features and management outcomes of 36 cases. Childs Nerv Syst 2014; 30(8):1355-66. doi: 10.1007/s00381-014-2442-3.
6. Jeon J., Kim J., Chung Y.S., Oh S., Ahn J.H., Cho W.S. et al. A risk factor analysis of prospective symptomatic haemorrhage in adult patients with cerebral cavernous malformation. J Neurol Neurosurg Psychiatry 2014; 85(12):1366-70. doi: 10.1136/jnnp-2013-306844
7. Chakravarthy H., Lin T.K., Chen Y.L., Wu Y.M., Yeh C.H. Wong HF De novo formation of cerebral cavernous malformation adjacent to existing developmental venous anomaly - an effect of change in venous pressure associated with management of a complex dural arterio-venous fistula. The Neuroradiology Journal. 2016; 29(6): 458 - 464. doi: 10.1177/1971400916666558
8. Felbor U., Sure U., Grimm T., Bertalanffy H. Genetics of Cerebral Cavernous Angioma. Cen Eur Neurosurg 2006; 67(3): 110-116. doi: 10.1055/s-2006-933537
9. Kaur G., Manganas L. Nimg-10. Early presentation offamilial cerebral cavernousmalformation (fccm) in an infant - a case report. Neuro Oncology. 2016; 18 (S6): 125. doi: https://doi.org/10.1093/neuonc/now212.522
10. Rebeiz Т., Mikati А., Simkhin D., Lee C., Akers A., Awad I. Exceptional Aggressiveness of CCM3 Phenotype. Stroke. 2014; 45 (S1): A159.
11. Krylov V.V., Dashyan V.G., Murashko A.A., Burov S.A. Hemorrhagic stroke posterior fossa. Neurosurgery. 2006; 4: 6-12. (In Russian)
12. Gotko A.V, Kivelev J.V, Son A.S.Cavernous malformations of the brain and spinal cord. Ukrainian neyrohirurgichny magazine. 2013; 3: 10-15. (In Russian)
13. Aiba T., Tanaka R., Koike T, Kameyama S, Takeda N, Komata T. Natural history of intracranial cavernous malformations. J Neurosurg 1995; 83 (1): 56-9. DOI: 10.3171/jns.1995.83.1.0056
14. Moriarity J., Clatterbuck R., Rigamonti D. The natural history of cavernous malformations. Neurosurg Clin N Am. 1999; 10(3): 411-17.
15. Flemming K., Link M., Christianson T.J., Brown R.D. Jr. Prospective hemorrhage risk of intracerebral cavernous malformations. Neurology. 2012; 78(9):632-6. doi: 10.1212/WNL.0b013e318248de9b.
16. Gross B., Lin N. The natural history of intracranial cavernous malformations. Neurosurg Focus. 2011; 30: E24.
17. Dashyan V.G., Murashko A.A., Krylov V.V. The choice of tactics of treatment of hypertensive cerebellar hematomas: Proceedings of the IV Congress of Neurosurgeons of Russia. 2006: 258. (In Russian)
18. Matsuda R., Coello A.F., De Benedictis A., Martinoni M., Duffau H. Awake mapping for resection of cavernous angioma and surrounding gliosis in the left dominant hemisphere: surgical technique and functional results. Journal of Neurosurgery. 2012; 117(6):1076-81. doi: 10.3171/2012.9.JNS12662.
Review
For citations:
Kazantsev A.N., Shabaev A.R., Tarasov R.S., Mironov A.V., Firsov N.K., Ruban E.V., Burkov N.N. The case of surgical treatment of cerebellar cavernous angioma. Complex Issues of Cardiovascular Diseases. 2018;7(4S):151-156. (In Russ.) https://doi.org/10.17802/2306-1278-2018-7-4S-151-156
Views:
1416
