Journal of Cerebrovascular and Endovascular Neurosurgery

Korean Society of Cerebravascular Surgeons (대한뇌혈관외과학회)
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Cavernous Malformations at Optic Apparatus: Three Cases

  • Kim, Hye Seon (Department of Neurosurgery, Seoul National University Hospital) ;
  • Phi, Ji Hoon (Department of Neurosurgery, Seoul National University Hospital) ;
  • Kim, Jeong Eun (Department of Neurosurgery, Seoul National University Hospital) ;
  • Lee, Ji Yeoun (Department of Neurosurgery, Seoul National University Hospital) ;
  • Kim, Seung-Ki (Department of Neurosurgery, Seoul National University Hospital) ;
  • Wang, Kyu-Chang (Department of Neurosurgery, Seoul National University Hospital) ;
  • Cho, Won-Sang (Department of Neurosurgery, Seoul National University Hospital)
  • Received : 2017.10.16
  • Accepted : 2018.09.01
  • Published : 2018.09.30
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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.

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References

  1. Anson JA, Spetzler RF. Surgical resection of intramedullary spinal cord cavernous malformations. J Neurosurg. 1993 Mar;78(3):446-51. https://doi.org/10.3171/jns.1993.78.3.0446
  2. Cho WS, Kang HS, Kim JW, Kee Park C, Kim JE. Cavernous malformation of the cisternal trigeminal nerve. Br J Neurosurg. 2011 Jun;25(3):339-40. https://doi.org/10.3109/02688697.2010.551674
  3. Kim DG, Choe WJ, Paek SH, Chung HT, Kim IH, Han DH. Radiosurgery of intracranial cavernous malformations. Acta Neurochir (Wien). 2002 Sep;144(9):869-78; discussion 878. https://doi.org/10.1007/s00701-002-0983-9
  4. Moriarity J, Clatterbuck R, Rigamonti D. The natural history of cavernous malformations. Neurosurg Clin N Am. 1999 Jul;10(3):411-7. https://doi.org/10.1016/S1042-3680(18)30175-X
  5. Muta D, Nishi T, Koga K, Yamashiro S, Fujioka S, Kuratsu J. Cavernous malformation of the optic chiasm: case report. Br J Neurosurg. 2006 Oct;20(5):312-5. https://doi.org/10.1080/02688690601000238
  6. Nagy G, Razak A, Rowe JG, Hodgson TJ, Coley SC, Radatz MW, et al. Stereotactic radiosurgery for deep-seated cavernous malformations: a move toward more active, early intervention: clinical article. J Neurosurg. 2010 Oct;113(4):691-9. https://doi.org/10.3171/2010.3.JNS091156
  7. Del Curling O Jr, Kelly DL Jr, Elster AD, Craven TE. An analysis of the natural history of cavernous angiomas. J Neurosurg. 1991 Nov;75(5):702-8. https://doi.org/10.3171/jns.1991.75.5.0702
  8. Robinson JR, Awad IA, Little JR. Natural history of the cavernous angioma. J Neurosurg. 1991 Nov;75(5):709-14. https://doi.org/10.3171/jns.1991.75.5.0709
  9. Rotondo M, Natale M, D'avanzo R, Pascale M, Scuotto A. Cavernous malformations isolated from cranial nerves: unexpected diagnosis? Clin Neurol Neurosurg. 2014 Nov;126:162-8. https://doi.org/10.1016/j.clineuro.2014.08.013
  10. Simard MJ, Garcia-Bengochea F, Ballinger WE Jr, Mickle JP, Quisling RG. Cavernous angioma: a review of 126 collected and 12 new clinical cases. Neurosurg. 1986 Feb;18(2):162-72. https://doi.org/10.1227/00006123-198602000-00008
  11. Tan T, Tee JW, Trost N, McKelvie P, Wang YY. Anterior visual pathway cavernous malformations. J Clin Neurosci. 2015 Feb;22(2):258-67. https://doi.org/10.1016/j.jocn.2014.07.027
  12. Matias-Guiu X, Alejo M, Sole T, Ferrer I, Noboa R, Bartumeus F. Cavernous angiomas of the cranial nerves. J Neurosurg. 1990 Oct;73(4):620-2. https://doi.org/10.3171/jns.1990.73.4.0620

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