Cavernous hemangiomas of the third ventricle: Alternative surgical routes in two cases

Cavernous Hemangiomas (CH) arise from any part of the cerebrum. Intraventricular lesions are rare and pure third ventricular localization is rare for CHs. Cavernomas of the ventricles may present with bleeding or signs associated with hydrocephalus. Radical excision is advocated for optimal manageme...

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Bibliographic Details
Published in:Neurologia i neurochirurgia polska 2018-03, Vol.52 (2), p.274-276
Main Authors: Seçer, Mehmet, Ulutaş, Murat, Alagöz, Fatih, Çınar, Kadir, Merzuk Uçkun, Özhan, Dağlıoğlu, Ergün
Format: Article
Language:English
Subjects:
Cavernous hemangioma
Cerebral Ventricle Neoplasms
Hemangioma
Hemangioma, Cavernous
Humans
Interhemispheric transcallosal transforaminal approach
Neurosurgical Procedures
Third Ventricle
Transsylvian approach
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Summary:Cavernous Hemangiomas (CH) arise from any part of the cerebrum. Intraventricular lesions are rare and pure third ventricular localization is rare for CHs. Cavernomas of the ventricles may present with bleeding or signs associated with hydrocephalus. Radical excision is advocated for optimal management of cavernomas. In the present study, we present two cavernomas of the third ventricle which were completely excised via interhemispheric transcallosal transforaminal and Sylvian approaches. Radical excision should be the aim of the surgeon since reoperation for residual cavernomas is more commonly associated with complications and poor outcome. Total excision should be the goal of the treatment due to risk of rebleeding or regrowth.
ISSN:0028-3843
1897-4260
DOI:10.1016/j.pjnns.2017.10.010