Cavernous malformations: surgical management in Belo Horizonte Santa Casa Hospital

Detalhes bibliográficos
Autor(a) principal: Faria, Marcello Penteado
Data de Publicação: 2004
Outros Autores: Fagundes-Pereyra, Wladimir Jose, Carvalho, Gervásio Teles Cardoso de, Sousa, Atos Alves de [UNIFESP]
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1590/S0004-282X2004000600027
http://repositorio.unifesp.br/handle/11600/28031
Resumo: The better understanding of the natural history of the cavernous malformations and the improvement of diagnostic methods and of microsurgical techniques have made the management of cavernous malformations possible through the conservative treatment, radiosurgery, and microsurgical resection. We present 33 cases operated at our service at Santa Casa Hospital, Belo Horizonte, from 1992 to 2001. Cortical and subcortical cavernomas manifested by epilepsy (57.5%) or mainly by hemorrhage (15.1%) were surgically approached, the deep lesions (basal ganglia, talamo and brain steam) represented 27.7% of our cases. They should only be operated when located near the pial or ependimary surface. the resection of spinal cord lesions (5.5%) and of deep brain lesions is also recommended when they present progressive focal deficit (13.8%) or recurrent episodes of hemorrhage (13.8%). Small and deep seated cavernomas that do not present bleeding must be conservatively treated. There has been no evident favourable result related to radiosurgery so far.
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spelling Cavernous malformations: surgical management in Belo Horizonte Santa Casa Hospitalcavernous malformationsclinical presentationmicrosurgeryThe better understanding of the natural history of the cavernous malformations and the improvement of diagnostic methods and of microsurgical techniques have made the management of cavernous malformations possible through the conservative treatment, radiosurgery, and microsurgical resection. We present 33 cases operated at our service at Santa Casa Hospital, Belo Horizonte, from 1992 to 2001. Cortical and subcortical cavernomas manifested by epilepsy (57.5%) or mainly by hemorrhage (15.1%) were surgically approached, the deep lesions (basal ganglia, talamo and brain steam) represented 27.7% of our cases. They should only be operated when located near the pial or ependimary surface. the resection of spinal cord lesions (5.5%) and of deep brain lesions is also recommended when they present progressive focal deficit (13.8%) or recurrent episodes of hemorrhage (13.8%). Small and deep seated cavernomas that do not present bleeding must be conservatively treated. There has been no evident favourable result related to radiosurgery so far.Fac Ciencias Med Minas Gerais, Santa Casa Belo Horizonte, Belo Horizonte, MG, BrazilEscola Paulista Med, Belo Horizonte, MG, BrazilEscola Paulista Med, Belo Horizonte, MG, BrazilWeb of ScienceAssoc Arquivos de Neuro- PsiquiatriaFac Ciencias Med Minas GeraisUniversidade Federal de São Paulo (UNIFESP)Faria, Marcello PenteadoFagundes-Pereyra, Wladimir JoseCarvalho, Gervásio Teles Cardoso deSousa, Atos Alves de [UNIFESP]2016-01-24T12:37:30Z2016-01-24T12:37:30Z2004-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion1079-1084application/pdfhttp://dx.doi.org/10.1590/S0004-282X2004000600027Arquivos de Neuro-psiquiatria. São Paulo, SP: Assoc Arquivos de Neuro- Psiquiatria, v. 62, n. 4, p. 1079-1084, 2004.10.1590/S0004-282X2004000600027S0004-282X2004000600027.pdf0004-282XS0004-282X2004000600027http://repositorio.unifesp.br/handle/11600/28031WOS:000225704800027porArquivos de Neuro-psiquiatriainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-07T00:38:07Zoai:repositorio.unifesp.br/:11600/28031Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-07T00:38:07Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Cavernous malformations: surgical management in Belo Horizonte Santa Casa Hospital
title Cavernous malformations: surgical management in Belo Horizonte Santa Casa Hospital
spellingShingle Cavernous malformations: surgical management in Belo Horizonte Santa Casa Hospital
Faria, Marcello Penteado
cavernous malformations
clinical presentation
microsurgery
title_short Cavernous malformations: surgical management in Belo Horizonte Santa Casa Hospital
title_full Cavernous malformations: surgical management in Belo Horizonte Santa Casa Hospital
title_fullStr Cavernous malformations: surgical management in Belo Horizonte Santa Casa Hospital
title_full_unstemmed Cavernous malformations: surgical management in Belo Horizonte Santa Casa Hospital
title_sort Cavernous malformations: surgical management in Belo Horizonte Santa Casa Hospital
author Faria, Marcello Penteado
author_facet Faria, Marcello Penteado
Fagundes-Pereyra, Wladimir Jose
Carvalho, Gervásio Teles Cardoso de
Sousa, Atos Alves de [UNIFESP]
author_role author
author2 Fagundes-Pereyra, Wladimir Jose
Carvalho, Gervásio Teles Cardoso de
Sousa, Atos Alves de [UNIFESP]
author2_role author
author
author
dc.contributor.none.fl_str_mv Fac Ciencias Med Minas Gerais
Universidade Federal de São Paulo (UNIFESP)
dc.contributor.author.fl_str_mv Faria, Marcello Penteado
Fagundes-Pereyra, Wladimir Jose
Carvalho, Gervásio Teles Cardoso de
Sousa, Atos Alves de [UNIFESP]
dc.subject.por.fl_str_mv cavernous malformations
clinical presentation
microsurgery
topic cavernous malformations
clinical presentation
microsurgery
description The better understanding of the natural history of the cavernous malformations and the improvement of diagnostic methods and of microsurgical techniques have made the management of cavernous malformations possible through the conservative treatment, radiosurgery, and microsurgical resection. We present 33 cases operated at our service at Santa Casa Hospital, Belo Horizonte, from 1992 to 2001. Cortical and subcortical cavernomas manifested by epilepsy (57.5%) or mainly by hemorrhage (15.1%) were surgically approached, the deep lesions (basal ganglia, talamo and brain steam) represented 27.7% of our cases. They should only be operated when located near the pial or ependimary surface. the resection of spinal cord lesions (5.5%) and of deep brain lesions is also recommended when they present progressive focal deficit (13.8%) or recurrent episodes of hemorrhage (13.8%). Small and deep seated cavernomas that do not present bleeding must be conservatively treated. There has been no evident favourable result related to radiosurgery so far.
publishDate 2004
dc.date.none.fl_str_mv 2004-12-01
2016-01-24T12:37:30Z
2016-01-24T12:37:30Z
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/S0004-282X2004000600027
Arquivos de Neuro-psiquiatria. São Paulo, SP: Assoc Arquivos de Neuro- Psiquiatria, v. 62, n. 4, p. 1079-1084, 2004.
10.1590/S0004-282X2004000600027
S0004-282X2004000600027.pdf
0004-282X
S0004-282X2004000600027
http://repositorio.unifesp.br/handle/11600/28031
WOS:000225704800027
url http://dx.doi.org/10.1590/S0004-282X2004000600027
http://repositorio.unifesp.br/handle/11600/28031
identifier_str_mv Arquivos de Neuro-psiquiatria. São Paulo, SP: Assoc Arquivos de Neuro- Psiquiatria, v. 62, n. 4, p. 1079-1084, 2004.
10.1590/S0004-282X2004000600027
S0004-282X2004000600027.pdf
0004-282X
S0004-282X2004000600027
WOS:000225704800027
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 1079-1084
application/pdf
dc.publisher.none.fl_str_mv Assoc Arquivos de Neuro- Psiquiatria
publisher.none.fl_str_mv Assoc Arquivos de Neuro- Psiquiatria
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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