Traitement chirurgical des cavernomes corticaux et sous-corticaux. Principes généraux et série personnelle de 20 cas opérés entre 2000 et 2006

Giant cavernoma mimicking a right frontal tumor

“…6 Cavernomas are often associated with other vascular malformations, especially venous developmental abnormalities, which must be imperatively respected in order to avoid creating venous infarction that could jeopardize the vital and/or functional prognosis. 4,6 This is an angiographically occult malformation that can be explained by the juxtaposition of "cavernous" blood cavities without afferent or efferent vessels. 7 These cavernomas generally become symptomatic between the second and fifth decade.…”

“…3 Clinical manifestations are variable, ranging from incidental findings to seizures or intracerebral hemorrhage. 4 Cerebral cavernoma are a condition that is best known A macroscopically complete excision associated with excision of the perilesional glial tissue (Figure 1b) was performed under the operating microscope. The diagnosis of cavernoma was confirmed by anatomopathological examination of the surgical specimen.…”

Supratentorial Convexity Dural-Based Cavernous Hemangioma Mimicking a Meningioma in a Child

“…The adjacent cortex was in very close apposition to the mass raising the possibility of the mass being at least partially in the cortex or involving a dural vein which spans the distance between the cortex and the dura producing a confusing image appearance. Although the atypical imaging features lead to a diagnosis of a meningioma, there needs to be a heightened awareness of cavernous hemangiomas in the differential diagnosis of dural lesions, especially when the lesions are multifocal [17, 18]. …”

“…The considerations during surgical treatment of dural-based cavernomas include whether it is located in proximity to the eloquent cortex and visible immediately after the dura opening. The use of appropriate technology including preoperative functional MRI, angiography, preoperative stereotactic guidance, peroperative ultrasonography, neuronavigation, and peroperative neurophysiology needs to be ascertained [18]. In cavernous hemangioma in younger children, more aggressive surgical indications than in adults may be favorable both to prevent hemorrhagic complications and to confirm pathologic diagnosis.…”

“…In contrast, hemangiomas in other locations are easily and successfully resected with minimal blood loss. The location of dural cavernous hemangiomas is an important factor in making the surgical decision and in predicting the outcome [2, 18, 19]. In the pediatric population, the middle fossa dural cavernous hemangiomas are uncommon.…”