Cavernous Malformations at Optic Apparatus: Three Cases.
10.7461/jcen.2018.20.3.176
- Author:
Hye Seon KIM
1
;
Ji Hoon PHI
;
Jeong Eun KIM
;
Ji Yeoun LEE
;
Seung Ki KIM
;
Kyu Chang WANG
;
Won Sang CHO
Author Information
1. Department of Neurosurgery, Seoul National University Hospital, Seoul, Korea. nsdrcho@gmail.com
- Publication Type:Case Report
- Keywords:
Cavernous hemangioma;
Optic nerve;
Surgery;
Hemorrhage
- MeSH:
Follow-Up Studies;
Hemangioma, Cavernous;
Hemorrhage;
Humans;
Optic Nerve
- From:Journal of Cerebrovascular and Endovascular Neurosurgery
2018;20(3):176-180
- CountryRepublic of Korea
- Language:English
-
Abstract:
Cavernous malformations (CMs) are angiographically occult vascular lesions, and their clinical presentations vary widely according to location of the lesion. Here, we reviewed three cases of CM located at the optic apparatus. All three patients experienced visual deterioration and underwent surgical resection. One achieved complete resection of the CM, whereas the others achieved subtotal resection. Visual symptoms of the two patients who achieved subtotal resection improved, but the visual symptom of the patient who achieved complete resection remained unchanged. One patient with subtotal resection presented postoperative improvement of visual symptoms but experienced deterioration in two years after surgical resection due to rebleeding from the remnant lesion, and he required a second operation. We recommend total resection of CM when feasible and regular follow-up after subtotal resection due to the risk of rebleeding.
