cavernosis Angioma ( Cavernoma )

Cavernoma or cavernous malformation is a vascular anomaly of the brain . In this disease, there are abnormal and swollen veins that look like blackberries. Cavernomas can bleed like other vascular anomalies . However, cavernoma hemorrhages, unlike aneurysm and AVM hemorrhages, are usually small, in the form of blood leakage around the lesion. Massive hemorrhages are rare.

Symptoms

The most common symptoms are headache and seizures. Other complaints are less common. Depending on the location of the cavernomas , different types of paralysis, weakness in the arms and legs, speech disorders, vision loss, etc. it could be. Although hemorrhages are rarely life-threatening, sometimes cavernoma hemorrhages located in the brainstem can be life-threatening.

Diagnosis

Although CT is important to evaluate the bleeding state , MRI is essential for the diagnosis of cavernoma . Angio methods have no place for the diagnosis of cavernoma and can only be used in suspicious cases to differentiate from other vascular lesions.

Treatment

Patients with no or very mild clinical findings and patients with an incidental diagnosis can be followed up with intermittent MRIs . Surgical treatment should be preferred in bleeding cavernomas . Surgical removal of cavernomas is the first treatment option. stereotaxic The radiosurgery option can be used to reduce the likelihood of bleeding alone in cavernomas and to reduce the frequency of seizures in patients with seizures . It does not destroy the cavernoma . The type of treatment is chosen after evaluation according to the location of the cavernoma , its size, the patient's general health status, the patient's preference and other conditions.