Turkish Neurosurgery 2012 , Vol 22 , Num 6
Multiple Cavernomas of the Brain: Simultaneous Hemorrhage of Two Lesions in a Non-Familial Form
Pier Paolo PANCIANI, Alessandro AGNOLETTI, Riccardo FORNARO, Marco FONTANELLA, Alessandro DUCATI
University of Turin, Department of Neuroscience, Division of Neurosurgery, Via Cherasco, Torino, Italy DOI : 10.5137/1019-5149.JTN.4107-11.2 BACKGROUND: Cavernomas of the brain are congenital lesions clinically divided into hereditary and a sporadic forms. Multiple lesions are usually observed in the familial form, whereas the sporadic variant generally shows a single cavernoma. In this case we describe the simultaneous bleeding of two lesions in a patient with a non-familial cavernomatosis.

CASE DESCRIPTION: A 46-year-old woman presented with slight hyposthenia involving the left arm and cervical stiffness. Examinations revealed two cavernomas with recent signs of bleeding. The lesions were surgically removed achieving a total excision. The patient was discharged after 10 days with slight left hyposthenia.

DISCUSSION: Simultaneous hemorrhage of multiple cavernomas is rare. To the best of our knowledge, this is the first case showing a sporadic form presenting with two hemorrhagic lesions. We suggest an aggressive approach in order to avoid the risk of rebleeding, which is particularly high in case of hemorrhagic cavernomatosis. Keywords : Hemangioma, Cavernous, Central nervous system, Hemorrhage, Familial cerebral cavernous malformation

Corresponding author : Pier Paolo Pancřanř, vincy.bip@alice.it