Cavernous malformations: surgical management in Belo Horizonte Santa Casa Hospital
Autor(a) principal: | |
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Data de Publicação: | 2004 |
Outros Autores: | , , |
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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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 |
_version_ |
1814268461577142272 |