Giant Cavernous Malformation : A Case Report and Review of the Literature.
10.3340/jkns.2008.43.4.198
- Author:
Dong Wuk SON
1
;
Sang Weon LEE
;
Chang Hwa CHOI
Author Information
1. Department of Neurosurgery, Pusan National University, School of Medicine, Busan, Korea. sangweonlee@pusan.ac.kr
- Publication Type:Case Report
- Keywords:
Cavernous hemangioma;
Venous angioma;
Seizure
- MeSH:
Basal Ganglia;
Caves;
Craniotomy;
Female;
Frontal Lobe;
Gas Chromatography-Mass Spectrometry;
Hemangioma;
Hemangioma, Cavernous;
Humans;
Magnetic Resonance Spectroscopy;
Seizures;
Young Adult
- From:Journal of Korean Neurosurgical Society
2008;43(4):198-200
- CountryRepublic of Korea
- Language:English
-
Abstract:
Giant cavernous malformations (GCMs) occur very rarely and little has been reported about their clinical characteristics. The authors present a case of a 20-year-old woman with a GCM. She was referred due to two episodes of generalized seizure. Computed tomography and magnetic resonance image demonstrated a heterogeneous multi-cystic lesion of 7 x 5 x 5 cm size in the left frontal lobe and basal ganglia, and enhancing vascular structure abutting medial portion of the mass. These fingings suggested a diagnosis of GCM accompanying venous angioma. After left frontal craniotomy, transcortical approach was done. Total removal was accomplished and the postoperative course was uneventful. GCMs do not seem differ clinically, surgically or histopathologically from small cavernous angiomas, but imaging appearance of GCMs may be variable. The clinical, radiological feature and management of GCMs are described based on pertinent literature review.
