Occult cerebral vascular lesions:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1999
|
| Schriftenreihe: | Neurosurgery clinics of North America
10,3 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | IX S., S. 395 - 540 zahlr. Ill. |
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| 245 | 1 | 0 | |a Occult cerebral vascular lesions |c Christopher S. Ogilvy, guest ed. |
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Datensatz im Suchindex
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| adam_text | OCCULT CEREBRAL VASCULAR LESIONS
CONTENTS
Preface xi
Christopher S. Ogilvy
Pathology of Cerebral Vascular Malformations 395
Joseph M. Zabramski, Jeffrey S. Henn, and Stephen Coons
The gross and microscopic features of cerebral arteriovenous malformations,
cavernous malformations, capillary telangiectases, and venous malforma¬
tions are compared and contrasted. The pathogenesis of these lesions and
possible interrelationships suggested by transitional lesions are also re¬
viewed.
The Natural History of Cavernous Malformations 411
John L. Moriarity, Richard E. Clatterbuck, and Daniele Rigamonti
This article reviews general information about cavernous malformations,
including histology, radiology, epidemiology, and symptomatology. Rates
of hemorrhage as reported in the literature are presented. Familial cavernous
malformations and their genetic basis are discussed. Finally, the variations
in the biological behavior of cavernous malformations in different regions
of the central nervous system are discussed and outcomes are assessed.
Diagnostic Imaging of Angiographically Occult
Vascular Malformations 419
James D. Rabinov
Occult vascular malformations of the central nervous system include cavern¬
ous malformations, capillary telangiectasis, and developmental venous
anomalies (DVAs). Cavernous malformations are prone to multiple small
hemorrhages and may enlarge with time. They have a heterogeneous ap¬
pearance on CT and MR imaging with areas of hemorrhage in various states
of evolution and sometimes calcifications. Developmental venous anomalies
and capillary telangiectasis are usually incidental findings on imaging stud¬
ies. They usually are not the cause of pathology by themselves, although
DVAs can be associated with cavernous malformations in 8% to 339, of cases.
NEUROSURGERY CLINICS OF NORTH AMERICA
VOLUME 10 • NUMBER 3 • JULY 1999 vii
Microsurgical Treatment of Supratentorial
Cavernous Malformations 433
Robert G. Ojemann and Christopher S. Ogilvy
The indications for the surgical management of supratentorial cavernous
malformations are outlined and the results following operation are pre¬
sented in this article. Surgery is indicated for most patients who present
with seizures, neurologic deficit, or headache. The surgical approaches to
lesions in the cerebrum are described. The operative morbidity and mortality
are low. Over 95% of all patients have excellent or good results and return
to their previous level of activity.
Microsurgical Treatment of Infratentorial Malformations 441
Jacques J. Morcos, Roberto C. Heros, and Daniel E. Frank
The brain stem has long lost the designation of no man s land. Armed
with a detailed knowledge of skull base and parenchymal neuroanatomy,
coupled with the advances in intraoperative mapping and monitoring, most
intrinsic brain stem cavernous malformations can be resected microsurgi
cally. Success continues to depend on proper patient selection, optimal
timing, thorough planning, meticulous technique, and completeness of
the resection.
Overall Surgical Results of Occult Vascular Malformations 475
Sepideh Amin Hanjani and Christopher S. Ogilvy
Surgical experience with angiographically occult vascular malformations,
specifically cavernous malformations (CMs), has increased substantially
over recent years. CMs are generally well circumscribed, low pressure vas¬
cular lesions amenable to resection. Overall, results obtained with operative
management have been favorable; however, the location of the lesion im¬
pacts significantly on the outcome and morbidity of surgery, with those
located within deep and brain stem regions carrying a higher incidence of
persistent neurologic complications. As knowledge emerges regarding the
long term natural history of these lesions, the role of operative intervention
in cases where surgical morbidity is high will become better defined.
Microarteriovenous Malformations 485
Shirley I. Stiver
Microarteriovenous malformations (micro AVMs) are a subgroup of brain
AVM with a nidus diameter of less than 1 cm. Although many micro AVMs
may appear angiographically occult on cursory review, careful analysis
will often reveal a subtle diagnostic feature. Micro AVMs present with
intracranial hemorrhages that are generally large and associated with sig¬
nificant neurologic impairment. An awareness of these lesions as a possible
source of hemorrhage in a young person is critical. In general, micro AVMs
are eminently resectable lesions and patient outcome is determined primar¬
ily by the hemorrhage that brings them to medical attention.
Stereotactic Radiosurgery for Management of Deep Brain
Cavernous Malformations 503
Satoshi Maesawa, Douglas Kondziolka, and L. Dade Lunsford
The indications for stereotactic radiosurgery for patients with cavernous
malformations of the brain are discussed. Specific reference is made to
vjjj CONTENTS
technique and dose selection and to the results and potential complications
of this approach. Radiosurgery is an alternative to microsurgical resection
for some patients with malformations in high risk brain locations.
Management of Cavernous Malformations in the
Pediatric Population 513
David M. Frim and R. Michael Scott
The management of cavernous malformations (CMs) in a child is similar
in many ways to that of CMs in an adult. There are specific general principles
that need to be considered when approaching these lesions in children,
however. The long life span anticipated in the pediatric patient may favor
an aggressive surgical approach for single, small asymptomatic cavernous
malformations or for certain symptomatic lesions in eloquent locations. The
observed history of a given malformation may be the best guide to determine
its treatment. The authors discuss some of these principles and review their
experience with a series of children who have presented for management
of cerebral CM.
Venous Anomalies and Associated Lesions 519
Johnny Pryor, Avi Setton, and Alex Berenstein
Developmental venous anomalies (DVAs) of the central nervous system are
an exaggeration of the normal venous collector system, not a vascular lesion.
They may be associated with many vascular and nonvascular processes with
the nervous system including tumors, demyelinating lesions, arteriovenous
malformations (AVMs), dural AVMs, cavernous malformations, and vascu¬
lar lesions of the head, face, and eye. The instigating factors involved are
not completely understood. The primary clinical significance of DVAs is
that planned or inadvertent occlusion during treatment of associated lesions
frequently leads to venous infarction of the surrounding normal brain.
Occult Vascular Malformations and Seizures 527
G. Rees Cosgrove
Occult vascular malformations are frequently associated with intractable
seizures and are a common cause of lesional epilepsy. MR imaging can
identify and characterize these lesions with accuracy. The presurgical evalu¬
ation must be tailored to the individual patient s presentation and circum¬
stances. Surgical results following lesionectomy plus corticectomy may be
slightly superior to lesionectomy alone, but the overall prognosis is excellent.
Index 537
Subscription Information Inside back cover
CONTENTS ix
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| series | Neurosurgery clinics of North America |
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| spelling | Occult cerebral vascular lesions Christopher S. Ogilvy, guest ed. Philadelphia [u.a.] Saunders 1999 IX S., S. 395 - 540 zahlr. Ill. txt rdacontent n rdamedia nc rdacarrier Neurosurgery clinics of North America 10,3 Central Nervous System Vascular Malformations Intracranial Arteriovenous Malformations Gefäßmissbildung (DE-588)4019653-7 gnd rswk-swf Hirngefäß (DE-588)4191572-0 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Hirngefäß (DE-588)4191572-0 s Gefäßmissbildung (DE-588)4019653-7 s DE-604 Ogilvy, Christopher S. Sonstige oth Neurosurgery clinics of North America 10,3 (DE-604)BV002758938 10,3 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008658210&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Occult cerebral vascular lesions Neurosurgery clinics of North America Central Nervous System Vascular Malformations Intracranial Arteriovenous Malformations Gefäßmissbildung (DE-588)4019653-7 gnd Hirngefäß (DE-588)4191572-0 gnd |
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| title | Occult cerebral vascular lesions |
| title_auth | Occult cerebral vascular lesions |
| title_exact_search | Occult cerebral vascular lesions |
| title_full | Occult cerebral vascular lesions Christopher S. Ogilvy, guest ed. |
| title_fullStr | Occult cerebral vascular lesions Christopher S. Ogilvy, guest ed. |
| title_full_unstemmed | Occult cerebral vascular lesions Christopher S. Ogilvy, guest ed. |
| title_short | Occult cerebral vascular lesions |
| title_sort | occult cerebral vascular lesions |
| topic | Central Nervous System Vascular Malformations Intracranial Arteriovenous Malformations Gefäßmissbildung (DE-588)4019653-7 gnd Hirngefäß (DE-588)4191572-0 gnd |
| topic_facet | Central Nervous System Vascular Malformations Intracranial Arteriovenous Malformations Gefäßmissbildung Hirngefäß Aufsatzsammlung |
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