Open AccessNeurosurgical treatment of patients with supratentorial cavernoma
Author(s) -
B.M. Djurovic,
Vesna Jovanović,
Goran Tasić,
Igor Nikolić,
Ivana Jovanović,
Miloš Joković,
R.V. Krunic-Protic,
Rosanda Ilić
Publication year - 2008
Publication title -
acta chirurgica iugoslavica
Language(s) - English
Resource type - Journals
eISSN - 2406-0887
pISSN - 0354-950X
DOI - 10.2298/aci0802133d
Subject(s) - medicine , epilepsy , incidence (geometry) , lesion , retrospective cohort study , resection , surgery , pediatrics , radiology , psychiatry , physics , optics
The aim of this study is to present the principal clinical manifestations and neurosurgical results of the treatment of patients with supratentorial cavernoma and epilepsy. The retrospective study included 14 patients with supratentorial lesion on MRI and CT scan of the brain that manifested with epileptic seizures. All patients were surgically treated and pathophysiologic evaluation in all patients confirmed that cavernoma was in question. Results were analyzed and compared with data from the literature. Epileptic seizures are the most frequent clinical manifestation found in supratentorial cavernoma and neurosurgical treatment gives excellent result as regards the control of epilepsy, with a very low incidence of morbidity and mortality. A complete resection of all cavernomas in this study was confirmed by postoperative neurosurgical diagnosing. 12 patients did not have any more epi seizures in the postoperative period, and in 2 patients we found decrease in the occurrence of epilepsy seizures.