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Posterior Fossa Haematomas Secondary to Occult Angiomatous Malformation (Cavernomas)

  • L. Symon
Conference paper
Part of the Advances in Neurosurgery book series (NEURO, volume 21)

Abstract

Although Luschka [2] in 1854 gave a description of what appears to have been an intracranial cavernoma, the first clear description of the entity was in 1928 by Walter Dandy [1]. The true frequency of symptomatic cavernomas remains hard to establish, but they are uncommon and probably represent only some 5%–13% of all CNS vascular anomalies, and estimates for the proposition below the tentorium vary from 10% to 23%. This report deals with our findings in 13 cases of brainstem haematoma related to confirmed cavernoma in 9 and probable cavernoma in the others, 12 lying within the brainstem and 1 in the superior vermis of the cerebellum. All were managed by direct microsurgical approach with evacuation of the haematoma and, in the majority of instances, verification of abnormal vessels consistent with cavernoma within the wall [5].

Keywords

Fourth Ventricle Cranial Nerve Palsy Venous Malformation Abnormal Vessel Hypoglossal Nucleus 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Dandy WE (1928) Venous abnormalities and angiomas of the brain. Arch Surg 17:715–793CrossRefGoogle Scholar
  2. 2.
    Luschka H (1854) Blutgeschwulst des Gehirns. Virchows Arch Path Anat 6:458–470Google Scholar
  3. 3.
    Rigamonti D, Spetzler R, Medina M, Rigamonti K, Geckle D, Pappas C (1990) Cerebral venous malformations. J Neurosurg 73:560–564PubMedCrossRefGoogle Scholar
  4. 4.
    Steiner L, Lindquist, Steiner M. (1992) Radiosurgery In: Advances and technical standards in neurosurgery, vol 19. Springer, Berlin Heidelberg New York (in press)Google Scholar
  5. 5.
    Symon L, Jackowski A, Bills D (1991) Surgical treatment of pontomedullary caver-nomas. Br J Neurosurg 5:339–347PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1993

Authors and Affiliations

  • L. Symon
    • 1
  1. 1.Gough-Cooper Department of Neurological Surgery, Institute of NeurologyThe National HospitalLondonUK

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