Surgical Technique for Resection Cavernous Malformations of the Brain Stem

Department

neurosurgery

Document Type

Article

Abstract

Brain stem cavernous malformations have been recognized increasingly as neuroradiographic techniques have improved. Their natural history can pursue a malignant course, but some lesions can remain clinically silent for years. It is difficult to predict the frequency and severity of each hemorrhage, although conservative or surgical management can be recommended in certain situations. Typically, patients with multiple hemorrhages, progressive deficits, severe mass effect, or lesions that clearly reach a pial surface are considered appropriate surgical candidates. Patients with asymptomatic lesions or with a significant rim of normal tissue should be followed conservatively. This article reviews the natural history of these lesions and elucidates successful preoperative, intraoperative, and postoperative strategies for the management of brain stem cavernous malformations. Copyright (C) 2000 by W.B. Saunders Company.

Publication Date

2000

Publication Title

Operative Techniques in Neurosurgery

ISSN

1092-440X

Volume

3

Issue

2

First Page

124

Last Page

130

Digital Object Identifier (DOI)

10.1053/oy.2000.6574

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