ABSTRACT
We present a case of a 21-year-old female with a giant cavernoma (5 cm x 3.1 cm x 3.6 cm) located in the left temporal region. Giant cavernomas are very rarely diagnosed. In our research we wanted to focus on the occurrence of these vascular malformations and diagnostic problems related to this matter.
Subject(s)
Brain Neoplasms/diagnosis , Brain Neoplasms/surgery , Hemangioma, Cavernous, Central Nervous System/diagnosis , Hemangioma, Cavernous, Central Nervous System/surgery , Temporal Lobe , Adult , Brain Neoplasms/complications , Brain Neoplasms/pathology , Diagnosis, Differential , Female , Hemangioma, Cavernous, Central Nervous System/complications , Hemangioma, Cavernous, Central Nervous System/pathology , HumansABSTRACT
Studies on long-term outcome of subarachnoid hemorrhage (SAH) have been carried out for many years using various neuroimaging techniques, such as e.g.: SPECT, PET, TCD and XeCT. In our study angio-MRI supplemented with the acetazolamide test was used to assess cerebrovascular reserve impairment in 30 patients within 6 months since clipping an intracranial aneurysm. Severity of the SAH course was evaluated using the WFNS (World Federation of Neurosurgical Societies) scale [3]. The patients' clinical status was assessed at follow-up by means of the Glasgow Outcome Scale (GOS) [8]. Cereberovascular reserve evaluated at the follow-up in hypercapneal conditions was found to be insufficient. The degree of vessel reactivity dysfunction as a long-term outcome of SAH turned out to depend on massiveness of hemorrhage from the ruptured aneurysm.
Subject(s)
Aneurysm, Ruptured/complications , Aneurysm, Ruptured/pathology , Intracranial Aneurysm/complications , Intracranial Aneurysm/pathology , Magnetic Resonance Angiography , Muscle, Smooth, Vascular/pathology , Subarachnoid Hemorrhage/etiology , Subarachnoid Hemorrhage/pathology , Acetazolamide , Aneurysm, Ruptured/physiopathology , Anticonvulsants , Blood Flow Velocity/physiology , Follow-Up Studies , Glasgow Coma Scale , Humans , Hypercapnia/diagnosis , Hypercapnia/etiology , Intracranial Aneurysm/physiopathology , Muscle, Smooth, Vascular/physiopathology , Subarachnoid Hemorrhage/physiopathologyABSTRACT
The reported case was a boy aged 13 with, traumatic carotido-cavernous fistula admitted to hospital with right exophthalmos and paresis of right abducens nerve. After two failed trials of endo-vascular closure of the fistula it was decided to use venous bypass ICA-MCA (internal carotid artery in its extracranial part--M1 segment of middle cerebral artery) for bypassing the fistula. This made possible closure of the fistula with regression of neurological symptoms.
