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Case report| Volume 62, P231-234, April 2019

Surgical treatment of an asymptomatic giant supratentorial cavernous hemangioma. Case report

  • Juan F. Villalonga
    Correspondence
    Corresponding author at: LINT (Laboratorio de Innovación Neuroquirúrgica de Tucumán), Facultad de Medicina, Universidad Nacional de Tucumán, Chair of Neurology, First floor, Alberdi 550, San Miguel de Tucumán, Tucumán 4000, Argentina.
    Affiliations
    LINT, Facultad de Medicina, Universidad Nacional de Tucumán, Tucumán, Argentina
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  • Amparo Saenz
    Affiliations
    LINT, Facultad de Medicina, Universidad Nacional de Tucumán, Tucumán, Argentina
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  • Alvaro Campero
    Affiliations
    LINT, Facultad de Medicina, Universidad Nacional de Tucumán, Tucumán, Argentina

    Chief of Department of Neurological Surgery, Hospital Padilla, Tucumán, Argentina
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Published:January 04, 2019DOI:https://doi.org/10.1016/j.jocn.2018.12.032

      Highlights

      • GCMs are rare, and because of their large size and the variation on their images, the diagnosis is challenging.
      • Prognostic factors and treatment for CM are well known.
      • The same does not apply to GCM because of the unpredictable behavior of these type of lesions.
      • An unusual case of an asymptomatic GCM is presented.
      • To our knowledge, this is the first case of an asymptomatic GCM presented in the literature, which raises the question about which the appropriate treatment is.

      Abstract

      A case is reported of a 19-year old patient with a supratentorial giant cavernous malformation (GCM). This was an incidental finding in the context of acute head trauma. Brain computed tomography (CT) scan and magnetic resonance imaging (MRI) revealed a giant supratentorial right mass. Surgical excision was performed, and histopathology findings were consistent with a cavernous malformation (CM). The patient had a complete neurological recovery. To our knowledge, this is the first case of a GCM in an asymptomatic patient with total surgical excision.

      Keywords

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