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Cavernomas and Developmental Venous Anomalies: Diagnosis and Therapy

  • E. Donauer
  • J. R. Moringlane
  • J. Reif
  • G. Huber
  • W. Feiden
Conference paper
Part of the Advances in Neurosurgery book series (NEURO, volume 22)

Abstract

In comparison to angiographically apparent vascular malformations (AVMs) little is known about the incidence and impact of hemorrhages from angiographically occult vascular malformations (AOVMs) [1, 4, 9, 10, 13, 14]. However, with the widespread availability of magnetic resonance imaging it has become considerably easier to identify AOVMs [3, 8, 12]. From our evaluation of more than 2500 angiograms the incidence rate of developmental venous anomalies (DVAs) and the rate of their coincidence with cavernomas were determined retrospectively. The clinical symptoms and complications of these lesions were also evaluated. Apart from this retrospective neuroradiological examination the therapeutic strategy and operative results are demonstrated in 33 patients with cavernoma. For deep lesions the significance of a combined stereotactical-microsurgical approach is illustrated.

Keywords

Vascular Malformation Venous Drainage Cavernous Hemangioma Cavernous Malformation Cavernous Angioma 
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.
    Donauer E, Faubert C (1992) Management of spontaneous intracerebral and cerebellar hemorrhage. In: Kaufmann HH (ed) Intracerebral hematomas. Raven, New York, pp 211–227Google Scholar
  2. 2.
    Fahlbusch R, Strauss C, Huk W, Röckelein G, Kompf D, Ruprecht KW (1990) Surgical removal of pontomesencephalic cavernous hemangiomas. Neurosurgery 26:449–457PubMedCrossRefGoogle Scholar
  3. 3.
    Huber G, Hermes M, Henkes H, Piepgras U (1992) Assoziation der zerebralen sog. venösen Angiome mit kryptischen Gefässmalformationen. Klin Neuroradiol 2:148–156Google Scholar
  4. 4.
    Kashiwagi S, Loveren HR, Tew JM, Wiot JG, Weil SM, Lukin RA (1990) Diagnosis and treatment of vascular brain stem malformations. J Neurosurg 72:27–34PubMedCrossRefGoogle Scholar
  5. 5.
    Konziolka D, Lunsford LD, Coffey RJ, Bissonette DJ, Flickinger JC (1990) Stereotactic radiosurgery of angiographically occult vascular malformations: indications and preliminary experience. Neurosurgery 27:892–900CrossRefGoogle Scholar
  6. 6.
    Konvalov AN, Spallone A, Makhmudow UB, Kuhlajeva JA, Ozerova VI (1990) Surgical management of hematomas of the brain stem. J Neurosurg 73:181–186CrossRefGoogle Scholar
  7. 7.
    Lasjaunias P, Burrow S, Platelet C (1986) Developmental venous anomalies (DVA). The so-called venous angioma. Neurosurg Rev 9:233PubMedCrossRefGoogle Scholar
  8. 8.
    Lobato RD, Rivas JJ, Gomez PA, Cabrera A, Sarabia R, Lamas E (1992) Comparison of the clinical presentation of symptomatic arteriovenous malformations (angiographically visualized) and occult vascular malformations. Neurosurgery 31:391–397PubMedCrossRefGoogle Scholar
  9. 9.
    Moringlane JR, Ramina R (1984) Angiographically occult vascular in functional areas of the brain. Zentralbl Neurochir 45:268–272PubMedGoogle Scholar
  10. 10.
    Ondra SL, Troupp H, George ED, Schwab K (1990) The natural history of symptomatic arteriovenous malformations of the brain: a 24-year follow-up assessment. J Neurosurg 73:387–391PubMedCrossRefGoogle Scholar
  11. 11.
    Rigamonti D, Spetzler RF (1988) The association of venous and cavernous malformations. Report of four cases and discussion of the pathophysiological, diagnostic and therapeutic implications. Acta Neurochir (Wien) 92:100–105CrossRefGoogle Scholar
  12. 12.
    Roda JM, Alvarez F, Isla A, Blazquez MG (1990) Thalamic cavernous malformation. J Neurosurg 72:647–649PubMedCrossRefGoogle Scholar
  13. 13.
    Scott MR, Barnes P, Kupsky W, Adelman LS (1992) Cavernous angiomas of the central nervous system in children. J Neurosurg 76:38–46PubMedCrossRefGoogle Scholar
  14. 14.
    Tung H, Gianotta ST, Chandrasoma PT, Zee CH (1990) Recurrent intraparenchymal hemorrhages from angiographically occult malformations. J Neurosurg 73:1764Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1994

Authors and Affiliations

  • E. Donauer
    • 1
  • J. R. Moringlane
    • 1
  • J. Reif
    • 1
  • G. Huber
    • 2
  • W. Feiden
    • 3
  1. 1.Department of NeurosurgeryUniversity of the SaarlandHomburg/SaarGermany
  2. 2.Department of NeuroradiologyUniversity of the SaarlandHomburg/SaarGermany
  3. 3.Department of NeuropathologyUniversity of the SaarlandHomburg/SaarGermany

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