Controversies in the management of brainstem cavernous angioma

report of two cases

Lali H S Sekhon, Michael K. Morgan*, Michael Besser, Wirginia Maixner

*Corresponding author for this work

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Two cases of cavernous angioma involving the medulla oblongata are presented. Both cases underwent surgical excision with excellent outcome. The use of surgery via craniectomy is contrasted with stereotactic radiosurgery in light of the known natural history of the lesions. As a result, it is suggested that surgical excision provides immediate protection from the risks of recurrent haemorrhage, establishes a tissue diagnosis, allows complete removal at the primary intervention, avoids complications of radiation‐induced damage and is performed more easily in these vascular anomalies due to the presence of a capsule with surrounding gliotic tissue. Additionally, it is implied that the natural history of lesions in this region is still unclear. For these reasons, it is suggested that surgical excision should be the primary therapeutic intervention for cavernous angiomata that involve the brainstem.

Original languageEnglish
Pages (from-to)763-767
Number of pages5
JournalAustralian and New Zealand Journal of Surgery
Volume62
Issue number10
DOIs
Publication statusPublished - 1992
Externally publishedYes

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Keywords

  • brainstem
  • cavernoma
  • cavernous angioma
  • haemangioma
  • stereotactic radiosurgery

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