Cavernous hemangioma located at the foramen of Monro: Radiopathological correlation

Bhatia, Sonia; Kapoor, Ankur; Gupta, Rajiv; Sahni, Tushar

doi:10.4103/0971-3026.120259

Cited by 8 publications

(4 citation statements)

References 4 publications

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“…35 Bhatia et al totally resected cavernomas at the 3V floor near the foramen of Monro using the endoscope. 12 In this study of three patients we achieved total lesion resection without any permanent postoperative deficits with the aid of a neuroendoscope.…”

Section: Neuroendoscopymentioning

confidence: 96%

Intraventricular Cavernous Malformation: Review of the Literature and Report of Three Cases with Neuroendoscopic Resection

Shirvani

Hajimirzabeigi

2017

J Neurol Surg A Cent Eur Neurosurg

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Intraventricular cavernomas (IVCs) are extremely infrequent and only occur in 2.8 to 10% of patients with cerebral cavernomas. We describe three IVC cases and briefly review previously documented IVC cases in PubMed. Among 136 IVC cases, the mean age of the patients was 36.5 years; the male-to-female ratio was 0.8. The most frequent location was the lateral ventricle (52.6%), and most of the clinical symptoms (74%) were related to mass effects on adjacent brain tissues. Intraventricular hemorrhage occurred in 22.9% of cases. Most of the articles concluded that complete surgical resection is the treatment of choice.The microsurgical approach is currently considered the gold standard for IVC resection. Using the neuroendoscope and neuronavigational guidance and based on the biological characteristics of the IVC, proper lesion size, and dilated ventricles, we totally resected the lesion in all three cases. Neuroendoscopy can be considered as an alternative to microsurgery of IVCs. However, we believe a larger series of cases is necessary to demonstrate when microsurgery and when neuroendoscopy should be performed for IVC resection.

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Section: Neuroendoscopymentioning

confidence: 96%

Intraventricular Cavernous Malformation: Review of the Literature and Report of Three Cases with Neuroendoscopic Resection

Shirvani

Hajimirzabeigi

2017

J Neurol Surg A Cent Eur Neurosurg

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“…Dentre os 15 casos já relatados, 11 realizaram craniotomia e exérese utilizando o microscópio cirúrgico e em apenas 2 a endoscopia foi a abordagem única de ressecção 2,11,14 . O objetivo comum de ambas abordagens é a extirpação total do cavernoma, uma vez que, em casos de ressecção incompleta ou parcial, esta patologia apresenta um período de estabilidade seguido por um rápido crescimento -o que está provavelmente relacionado à ocorrência de repetidas hemorragias intralesionais 9 .…”

Section: E 5)unclassified

“…Apenas dois casos dos quais temos conhecimento tiveram sucesso com uma abordagem neuroendoscópica em tais CVIs 2,14 . Prat et al relatam o primeiro, em que o paciente apresentava múltiplos cavernomas e, em avaliação préoperatória com neuronavegador (Brainlab AG, Inc.) excluiuse a possibilidade de craniotomia, devido ao alto risco de hemorragia transoperatória 14 .…”

Section: E 5)unclassified

Cavernoma Intraventricular a Nível de Forame de Monroe

Girelli¹,

Heemann²,

Soder³

et al. 2018

jbnc

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Em 2014, um paciente masculino de 44 anos previamente hígido procurou atendimento devido a forte cefaleia em região occipital e, ao realizar tomografia computadorizada (TC), evidenciou-se uma lesão expansiva no interior do sistema ventricular. A seguir, uma ressonância magnética (RM) levantou hipóteses diagnósticas de cavernoma intraventricular e de neurocitoma extraventricular. Com possibilidade anatômica de ressecção total da lesão, optou-se por tratamento cirúrgico, o que confirmou o diagnóstico raro de cavernoma intraventricular a nível do Forame de Monroe direito. Ressaltamos aqui os indícios radiológicos que indicaram o correto diagnóstico e discutimos a abordagem cirúrgica utilizada.

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“…Intraventricular cavernous angiomas are rare pathological entities, constituting 2.5–10.8 % of cerebral cavernous angiomas (Kivelev et al 2010 ); those localized at the foramen of Monro are even rarer. To the best of our knowledge, only 16 cases of cavernous angioma at the foramen of Monro have been previously reported (Lee et al 2012 ; Bhatia et al 2013 ; Winslow et al 2015 ). Surgical removal was performed in all previous cases.…”

Section: Introductionmentioning

confidence: 99%

Endoscope-assisted resection of cavernous angioma at the foramen of Monro: a case report

et al. 2016

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Introduction Intraventricular cavernous angiomas are rare pathological entities, and those located at the foramen of Monro are even rarer. We herein present a case of cavernous angioma at the foramen of Monro that was successfully treated by neuroendoscope-assisted surgical removal, and review the relevant literature.Case presentationA 65-year-old woman had experienced headache and vomiting for 10 days before admission to another hospital. Magnetic resonance imaging (MRI) showed a mass at the foramen of Monro, and obstructive hydrocephalus of both lateral ventricles. The patient was then referred to our hospital. Neurological examination on admission to our hospital showed memory disturbance (Mini-Mental State Examination 20/30) and wide-based gait. A cavernous angioma at the foramen of Monro was diagnosed based on the typical popcorn-like appearance of the lesion on MRI. The lesion was completely removed by neuroendoscope-assisted transcortical surgery with the Viewsite Brain Access System (Vycor Medical Inc., Boca Raton, FL), leading to a reduction in the size of the ventricles. The resected mass was histologically confirmed to be cavernous angioma. The patient’s symptoms resolved immediately and there were no postoperative complications.ConclusionMinimally invasive neuroendoscope-assisted surgery was used to successfully treat a cavernous angioma at the foramen of Monro.

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Cavernous hemangioma located at the foramen of Monro: Radiopathological correlation

Cited by 8 publications

References 4 publications

Intraventricular Cavernous Malformation: Review of the Literature and Report of Three Cases with Neuroendoscopic Resection

Intraventricular Cavernous Malformation: Review of the Literature and Report of Three Cases with Neuroendoscopic Resection

Cavernoma Intraventricular a Nível de Forame de Monroe

Endoscope-assisted resection of cavernous angioma at the foramen of Monro: a case report

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