Cavernoma gigante: relato de dois casos

Detalhes bibliográficos
Autor(a) principal: Andrade, Guilherme Cabral de [UNIFESP]
Data de Publicação: 2002
Outros Autores: Prandini, Mirto Nelso [UNIFESP], Braga, Fernando Menezes [UNIFESP]
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1590/S0004-282X2002000300027
http://repositorio.unifesp.br/handle/11600/1432
Resumo: Cavernous angiomas or haemangiomas or yet cavernomas are malformations of the central nervous system classified as occult vascular brain lesions. These rare lesions are clinically silent. They are defined by the presence of abnormally large vascular cavities or sinusoids channels of variable size, with sharp walls, located inside but not invading the brain parenchyma. They can occur at any age, including the neonatal period. Most of the small lesions are located inside the brain parenchyma. No abnormal circulation can be demonstrated in angiography and CT scan can be helpful for diagnosis only in rare occasions. Magnetic resonance is the best exam to demonstrate the lesion. Despite the benign character some lesions may cause neurologic dysfunction when their removal may be difficult. Complete extirpation is the best treatment if the lesion is favorable located and is causing neurological dysfunction. Two cases of giant cavernomas with good outcome after total removal are present. Only three cases of giant cavernomas were reported in the literature.
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spelling Cavernoma gigante: relato de dois casosGiant cavernous angioma: report of two casescavernomagiant cavernous angiomacavernomaangioma cavernoso giganteCavernous angiomas or haemangiomas or yet cavernomas are malformations of the central nervous system classified as occult vascular brain lesions. These rare lesions are clinically silent. They are defined by the presence of abnormally large vascular cavities or sinusoids channels of variable size, with sharp walls, located inside but not invading the brain parenchyma. They can occur at any age, including the neonatal period. Most of the small lesions are located inside the brain parenchyma. No abnormal circulation can be demonstrated in angiography and CT scan can be helpful for diagnosis only in rare occasions. Magnetic resonance is the best exam to demonstrate the lesion. Despite the benign character some lesions may cause neurologic dysfunction when their removal may be difficult. Complete extirpation is the best treatment if the lesion is favorable located and is causing neurological dysfunction. Two cases of giant cavernomas with good outcome after total removal are present. Only three cases of giant cavernomas were reported in the literature.Angiomas cavernosos ou hemangiomas ou ainda cavernomas são malformações do sistema nervoso central, classificadas como lesões cerebrais vasculares ocultas, frequentemente assintomáticas, sendo relativamente raras. Definidas histologicamente como massas compactas cavernosas ou canais sinusoidais de vários tamanhos, com paredes finas no interior do parênquima cerebral e sem intervenção do tecido glial. Podem ocorrer em qualquer faixa etária inclusive em neonatos. Na maioria das vezes são lesões de tamanho reduzido, localizadas no interior do parênquima encefálico. Angiograficamente não mostram alterações com circulação patológica, podendo mesmo não ser diagnosticados pela tomografia, sendo o exame ideal para o seu diagnóstico a ressonância magnética de crânio. Os cavernomas são lesões histologicamente benignas mas, dependendo de sua localização, podem trazer grandes transtornos neurológicos e ser irressecáveis. A exérese cirúrgica da lesão é o tratamento de escolha se a lesão for única e em localização favorável e estiver desencadeando sintomatologia neurológica prejudicial ao paciente. Apresentamos dois casos de cavernomas gigantes que apresentaram boa evolução após ressecção cirúrgica completa. Descritos como gigantes, foram encontrados apenas três casos individuais na literatura .Universidade Federal de São Paulo (UNIFESP) Escola Paulista de MedicinaUniversidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Setor de neurocirurgia vascularUNIFESP, EPM, Setor de neurocirurgia vascularSciELOAcademia Brasileira de Neurologia - ABNEUROUniversidade Federal de São Paulo (UNIFESP)Andrade, Guilherme Cabral de [UNIFESP]Prandini, Mirto Nelso [UNIFESP]Braga, Fernando Menezes [UNIFESP]2015-06-14T13:29:42Z2015-06-14T13:29:42Z2002-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion481-486application/pdfhttp://dx.doi.org/10.1590/S0004-282X2002000300027Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 60, n. 2B, p. 481-486, 2002.10.1590/S0004-282X2002000300027S0004-282X2002000300027.pdf0004-282XS0004-282X2002000300027http://repositorio.unifesp.br/handle/11600/1432WOS:000176624200027porArquivos de Neuro-Psiquiatriainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-07-27T20:30:00Zoai:repositorio.unifesp.br/:11600/1432Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-07-27T20:30Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Cavernoma gigante: relato de dois casos
Giant cavernous angioma: report of two cases
title Cavernoma gigante: relato de dois casos
spellingShingle Cavernoma gigante: relato de dois casos
Andrade, Guilherme Cabral de [UNIFESP]
cavernoma
giant cavernous angioma
cavernoma
angioma cavernoso gigante
title_short Cavernoma gigante: relato de dois casos
title_full Cavernoma gigante: relato de dois casos
title_fullStr Cavernoma gigante: relato de dois casos
title_full_unstemmed Cavernoma gigante: relato de dois casos
title_sort Cavernoma gigante: relato de dois casos
author Andrade, Guilherme Cabral de [UNIFESP]
author_facet Andrade, Guilherme Cabral de [UNIFESP]
Prandini, Mirto Nelso [UNIFESP]
Braga, Fernando Menezes [UNIFESP]
author_role author
author2 Prandini, Mirto Nelso [UNIFESP]
Braga, Fernando Menezes [UNIFESP]
author2_role author
author
dc.contributor.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
dc.contributor.author.fl_str_mv Andrade, Guilherme Cabral de [UNIFESP]
Prandini, Mirto Nelso [UNIFESP]
Braga, Fernando Menezes [UNIFESP]
dc.subject.por.fl_str_mv cavernoma
giant cavernous angioma
cavernoma
angioma cavernoso gigante
topic cavernoma
giant cavernous angioma
cavernoma
angioma cavernoso gigante
description Cavernous angiomas or haemangiomas or yet cavernomas are malformations of the central nervous system classified as occult vascular brain lesions. These rare lesions are clinically silent. They are defined by the presence of abnormally large vascular cavities or sinusoids channels of variable size, with sharp walls, located inside but not invading the brain parenchyma. They can occur at any age, including the neonatal period. Most of the small lesions are located inside the brain parenchyma. No abnormal circulation can be demonstrated in angiography and CT scan can be helpful for diagnosis only in rare occasions. Magnetic resonance is the best exam to demonstrate the lesion. Despite the benign character some lesions may cause neurologic dysfunction when their removal may be difficult. Complete extirpation is the best treatment if the lesion is favorable located and is causing neurological dysfunction. Two cases of giant cavernomas with good outcome after total removal are present. Only three cases of giant cavernomas were reported in the literature.
publishDate 2002
dc.date.none.fl_str_mv 2002-06-01
2015-06-14T13:29:42Z
2015-06-14T13:29:42Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/S0004-282X2002000300027
Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 60, n. 2B, p. 481-486, 2002.
10.1590/S0004-282X2002000300027
S0004-282X2002000300027.pdf
0004-282X
S0004-282X2002000300027
http://repositorio.unifesp.br/handle/11600/1432
WOS:000176624200027
url http://dx.doi.org/10.1590/S0004-282X2002000300027
http://repositorio.unifesp.br/handle/11600/1432
identifier_str_mv Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 60, n. 2B, p. 481-486, 2002.
10.1590/S0004-282X2002000300027
S0004-282X2002000300027.pdf
0004-282X
S0004-282X2002000300027
WOS:000176624200027
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv Arquivos de Neuro-Psiquiatria
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 481-486
application/pdf
dc.publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
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