Remarkable Clinical Improvement Following Microsurgical Resection of Left Lingual Gyrus Cerebral Cavernous Malformation: A Case Report
Introduction Cerebral cavernous malformations (CCMs) are collections of dilated and irregular capillaries in the brain. Cerebral cavernous malformations are predominantly supratentorial; occipital CCMs are rare. Surgical removal is indicated for CCMs with recurrent hemorrhage, refractory seizures, a...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2021-09-01
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| Series: | Brazilian Neurosurgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1718427 |
| _version_ | 1818900802516811776 |
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| author | Samer S. Hoz Zahraa F. Al-Sharshahi Mustafa M. Altaweel Saja A. Albanaa |
| author_facet | Samer S. Hoz Zahraa F. Al-Sharshahi Mustafa M. Altaweel Saja A. Albanaa |
| author_sort | Samer S. Hoz |
| collection | DOAJ |
| description | Introduction Cerebral cavernous malformations (CCMs) are collections of dilated and irregular capillaries in the brain. Cerebral cavernous malformations are predominantly supratentorial; occipital CCMs are rare. Surgical removal is indicated for CCMs with recurrent hemorrhage, refractory seizures, and expanding lesions.
Case Description We describe a case of a 15-year-old male who presented with repeated tonic-clonic seizures and right homonymous hemianopia of 3-week duration. Magnetic resonance imaging (MRI) showed a mass located on the left medial occipital lobe, specifically in the left lingual gyrus. The T2-weighted and T2-gradient echo images confirmed the diagnosis of a CCM. Total microscopic resection was achieved. There were no surgical complications. The visual deficit improved, and the patient was seizure-free on subsequent follow-up visits.
Conclusion Surgical resection of an occipital CCM resulted in a remarkable improvement in terms of seizures and visual field deficits. |
| first_indexed | 2024-12-19T20:09:39Z |
| format | Article |
| id | doaj.art-d8f5956dbb8c4d28af572c1ed9353503 |
| institution | Directory Open Access Journal |
| issn | 0103-5355 2359-5922 |
| language | English |
| last_indexed | 2024-12-19T20:09:39Z |
| publishDate | 2021-09-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Brazilian Neurosurgery |
| spelling | doaj.art-d8f5956dbb8c4d28af572c1ed93535032022-12-21T20:07:22ZengThieme Revinter Publicações Ltda.Brazilian Neurosurgery0103-53552359-59222021-09-014003e268e27110.1055/s-0040-1718427Remarkable Clinical Improvement Following Microsurgical Resection of Left Lingual Gyrus Cerebral Cavernous Malformation: A Case ReportSamer S. Hoz0Zahraa F. Al-Sharshahi1Mustafa M. Altaweel2Saja A. Albanaa3Department of Neurosurgery, Neurosurgery Teaching Hospital, Baghdad, IraqDepartment of Neurosurgery, Neurosurgery Teaching Hospital, Baghdad, IraqDepartment of Neurosurgery, Neurosurgery Teaching Hospital, Baghdad, IraqCollege of Medicine, Baghdad University, Baghdad, IraqIntroduction Cerebral cavernous malformations (CCMs) are collections of dilated and irregular capillaries in the brain. Cerebral cavernous malformations are predominantly supratentorial; occipital CCMs are rare. Surgical removal is indicated for CCMs with recurrent hemorrhage, refractory seizures, and expanding lesions. Case Description We describe a case of a 15-year-old male who presented with repeated tonic-clonic seizures and right homonymous hemianopia of 3-week duration. Magnetic resonance imaging (MRI) showed a mass located on the left medial occipital lobe, specifically in the left lingual gyrus. The T2-weighted and T2-gradient echo images confirmed the diagnosis of a CCM. Total microscopic resection was achieved. There were no surgical complications. The visual deficit improved, and the patient was seizure-free on subsequent follow-up visits. Conclusion Surgical resection of an occipital CCM resulted in a remarkable improvement in terms of seizures and visual field deficits.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1718427cerebral cavernous malformationsleft lingual gyrusmicrosurgical resection |
| spellingShingle | Samer S. Hoz Zahraa F. Al-Sharshahi Mustafa M. Altaweel Saja A. Albanaa Remarkable Clinical Improvement Following Microsurgical Resection of Left Lingual Gyrus Cerebral Cavernous Malformation: A Case Report Brazilian Neurosurgery cerebral cavernous malformations left lingual gyrus microsurgical resection |
| title | Remarkable Clinical Improvement Following Microsurgical Resection of Left Lingual Gyrus Cerebral Cavernous Malformation: A Case Report |
| title_full | Remarkable Clinical Improvement Following Microsurgical Resection of Left Lingual Gyrus Cerebral Cavernous Malformation: A Case Report |
| title_fullStr | Remarkable Clinical Improvement Following Microsurgical Resection of Left Lingual Gyrus Cerebral Cavernous Malformation: A Case Report |
| title_full_unstemmed | Remarkable Clinical Improvement Following Microsurgical Resection of Left Lingual Gyrus Cerebral Cavernous Malformation: A Case Report |
| title_short | Remarkable Clinical Improvement Following Microsurgical Resection of Left Lingual Gyrus Cerebral Cavernous Malformation: A Case Report |
| title_sort | remarkable clinical improvement following microsurgical resection of left lingual gyrus cerebral cavernous malformation a case report |
| topic | cerebral cavernous malformations left lingual gyrus microsurgical resection |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1718427 |
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