Issue release date: 12.11.2024
Turkish Neurosurgery
2012 , Vol 22 , Num 6
Multiple Cavernomas of the Brain: Simultaneous Hemorrhage of Two Lesions in a Non-Familial Form
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