Controversies in the management of brainstem cavernous angioma: report of two cases.


Journal Article

Two cases of cavernous angioma involving the medulla oblongata are presented. Both cases underwent surgical excision with excellent outcome. The use of surgery via craniectomy is contrasted with stereotactic radiosurgery in light of the known natural history of the lesions. As a result, it is suggested that surgical excision provides immediate protection from the risks of recurrent haemorrhage, establishes a tissue diagnosis, allows complete removal at the primary intervention, avoids complications of radiation-induced damage and is performed more easily in these vascular anomalies due to the presence of a capsule with surrounding gliotic tissue. Additionally, it is implied that the natural history of lesions in this region is still unclear. For these reasons, it is suggested that surgical excision should be the primary therapeutic intervention for cavernous angiomata that involve the brainstem.

Full Text

Duke Authors

Cited Authors

  • Sekhon, LH; Morgan, MK; Besser, M; Maixner, W

Published Date

  • October 1992

Published In

Volume / Issue

  • 62 / 10

Start / End Page

  • 763 - 767

PubMed ID

  • 1445054

Pubmed Central ID

  • 1445054

International Standard Serial Number (ISSN)

  • 0004-8682

Digital Object Identifier (DOI)

  • 10.1111/j.1445-2197.1992.tb06914.x


  • eng

Conference Location

  • Australia