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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Arq. Neuro-Psiquiatr. vol.52 no.2 São Paulo June 1994

http://dx.doi.org/10.1590/S0004-282X1994000200015 

Angioma cavernoso intracraniano

 

Intracranial cavernous angioma

 

 

José Carlos LynchI; Ricardo AndradeII; Celestino PereiraIII; J. Francisco SalomãoIII; Francisco DuarteIV; Francisca Gonçalves CarvalhoV; Edla ChadryckiVI

IDepartamentos de Neurocirurgia e de Anatomia Patológica do Hospital dos Servidores do Estado (HSE), Rio de Janeiro RJ: Chefe do Serviço de Neurocirurgia
IIDepartamentos de Neurocirurgia e de Anatomia Patológica do Hospital dos Servidores do Estado (HSE), Rio de Janeiro RJ: Chefe de Clínica da Neurocirurgia
IIIDepartamentos de Neurocirurgia e de Anatomia Patológica do Hospital dos Servidores do Estado (HSE), Rio de Janeiro RJ: Neurocirurgião
IVDepartamentos de Neurocirurgia e de Anatomia Patológica do Hospital dos Servidores do Estado (HSE), Rio de Janeiro RJ: Chefe do Serviço de Anatomia Patológica
VDepartamentos de Neurocirurgia e de Anatomia Patológica do Hospital dos Servidores do Estado (HSE), Rio de Janeiro RJ: Patologista
VIDepartamentos de Neurocirurgia e de Anatomia Patológica do Hospital dos Servidores do Estado (HSE), Rio de Janeiro RJ: Neuro-Radiologista

 

 


RESUMO

Os autores apresentam dados clínicos, achados radiológicos, aspectos histopatológicos e resultados do tratamento de oito pacientes com angioma cavernoso intracraniano. Cinco apresentavam crise convulsiva; dois, manifestação de efeito de massa; um, hemorragia cerebral. A tomografia computadorizada de crânio e a ressonância magnética detectaram a lesão em todos os casos. Entretanto, não há uma imagem patognomômica para os angiomas cavernosos. Todos os pacientes foram submetidos a remoção microcirúrgica das suas lesões. Obtivemos remoção total da lesão em sete pacientes e subtotal em um. Não ocorreu óbito nesta série e somente um paciente apresentou novo deficit neurológico.

Palavras-chave: angioma cavernoso, mal formação vascular, crise convulsiva, hemorragia cerebral, microcirurgia.


SUMMARY

Clinical, radiological and histopathological features of eight cases of symptomatic cavernous angioma are presented. Five patients were being evaluated for seizure, two for mass lesions and one for intracranial hemorrhage. CT and/or MRI detected the lesion in all cases, but there is not a characteristic image for cavernous angioma. Good results were obtained by microsurgical approach to these malformations in seven patients with only one patient suffering a worsening of neurological status after surgery.

Key words: cavernous angioma, cerebral vascular malformation, seizure, cerebral hemorrhage, microsurgery.


 

 

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

 

 

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Aceite: 11-outubro-1993.

 

 

Dr. José Carlos Lynch - Rua Jardim Botânico 700/318 - 22461 -000 Rio de Janeiro RJ - Brasil.