Remarkable Clinical Improvement Following Microsurgical Resection of Left Lingual Gyrus Cerebral Cavernous Malformation: A Case Report

Introduction Cerebral cavernous malformations (CCMs) are collections of dilated and irregular capillaries in the brain. Cerebral cavernous malformations are predominantly supratentorial; occipital CCMs are rare. Surgical removal is indicated for CCMs with recurrent hemorrhage, refractory seizures, a...

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Autores principales:	Samer S. Hoz, Zahraa F. Al-Sharshahi, Mustafa M. Altaweel, Saja A. Albanaa
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Revinter Publicações Ltda. 2021
Materias:	cerebral cavernous malformations left lingual gyrus microsurgical resection Medicine R Surgery RD1-811
Acceso en línea:	https://doaj.org/article/d8f5956dbb8c4d28af572c1ed9353503
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spelling	oai:doaj.org-article:d8f5956dbb8c4d28af572c1ed93535032021-11-03T23:45:46ZRemarkable Clinical Improvement Following Microsurgical Resection of Left Lingual Gyrus Cerebral Cavernous Malformation: A Case Report0103-53552359-592210.1055/s-0040-1718427https://doaj.org/article/d8f5956dbb8c4d28af572c1ed93535032021-09-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1718427https://doaj.org/toc/0103-5355https://doaj.org/toc/2359-5922Introduction Cerebral cavernous malformations (CCMs) are collections of dilated and irregular capillaries in the brain. Cerebral cavernous malformations are predominantly supratentorial; occipital CCMs are rare. Surgical removal is indicated for CCMs with recurrent hemorrhage, refractory seizures, and expanding lesions. Case Description We describe a case of a 15-year-old male who presented with repeated tonic-clonic seizures and right homonymous hemianopia of 3-week duration. Magnetic resonance imaging (MRI) showed a mass located on the left medial occipital lobe, specifically in the left lingual gyrus. The T2-weighted and T2-gradient echo images confirmed the diagnosis of a CCM. Total microscopic resection was achieved. There were no surgical complications. The visual deficit improved, and the patient was seizure-free on subsequent follow-up visits. Conclusion Surgical resection of an occipital CCM resulted in a remarkable improvement in terms of seizures and visual field deficits.Samer S. HozZahraa F. Al-SharshahiMustafa M. AltaweelSaja A. AlbanaaThieme Revinter Publicações Ltda.articlecerebral cavernous malformationsleft lingual gyrusmicrosurgical resectionMedicineRSurgeryRD1-811ENBrazilian Neurosurgery, Vol 40, Iss 03, Pp e268-e271 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cerebral cavernous malformations left lingual gyrus microsurgical resection Medicine R Surgery RD1-811
spellingShingle	cerebral cavernous malformations left lingual gyrus microsurgical resection Medicine R Surgery RD1-811 Samer S. Hoz Zahraa F. Al-Sharshahi Mustafa M. Altaweel Saja A. Albanaa Remarkable Clinical Improvement Following Microsurgical Resection of Left Lingual Gyrus Cerebral Cavernous Malformation: A Case Report
description	Introduction Cerebral cavernous malformations (CCMs) are collections of dilated and irregular capillaries in the brain. Cerebral cavernous malformations are predominantly supratentorial; occipital CCMs are rare. Surgical removal is indicated for CCMs with recurrent hemorrhage, refractory seizures, and expanding lesions. Case Description We describe a case of a 15-year-old male who presented with repeated tonic-clonic seizures and right homonymous hemianopia of 3-week duration. Magnetic resonance imaging (MRI) showed a mass located on the left medial occipital lobe, specifically in the left lingual gyrus. The T2-weighted and T2-gradient echo images confirmed the diagnosis of a CCM. Total microscopic resection was achieved. There were no surgical complications. The visual deficit improved, and the patient was seizure-free on subsequent follow-up visits. Conclusion Surgical resection of an occipital CCM resulted in a remarkable improvement in terms of seizures and visual field deficits.
format	article
author	Samer S. Hoz Zahraa F. Al-Sharshahi Mustafa M. Altaweel Saja A. Albanaa
author_facet	Samer S. Hoz Zahraa F. Al-Sharshahi Mustafa M. Altaweel Saja A. Albanaa
author_sort	Samer S. Hoz
title	Remarkable Clinical Improvement Following Microsurgical Resection of Left Lingual Gyrus Cerebral Cavernous Malformation: A Case Report
title_short	Remarkable Clinical Improvement Following Microsurgical Resection of Left Lingual Gyrus Cerebral Cavernous Malformation: A Case Report
title_full	Remarkable Clinical Improvement Following Microsurgical Resection of Left Lingual Gyrus Cerebral Cavernous Malformation: A Case Report
title_fullStr	Remarkable Clinical Improvement Following Microsurgical Resection of Left Lingual Gyrus Cerebral Cavernous Malformation: A Case Report
title_full_unstemmed	Remarkable Clinical Improvement Following Microsurgical Resection of Left Lingual Gyrus Cerebral Cavernous Malformation: A Case Report
title_sort	remarkable clinical improvement following microsurgical resection of left lingual gyrus cerebral cavernous malformation: a case report
publisher	Thieme Revinter Publicações Ltda.
publishDate	2021
url	https://doaj.org/article/d8f5956dbb8c4d28af572c1ed9353503
work_keys_str_mv	AT samershoz remarkableclinicalimprovementfollowingmicrosurgicalresectionofleftlingualgyruscerebralcavernousmalformationacasereport AT zahraafalsharshahi remarkableclinicalimprovementfollowingmicrosurgicalresectionofleftlingualgyruscerebralcavernousmalformationacasereport AT mustafamaltaweel remarkableclinicalimprovementfollowingmicrosurgicalresectionofleftlingualgyruscerebralcavernousmalformationacasereport AT sajaaalbanaa remarkableclinicalimprovementfollowingmicrosurgicalresectionofleftlingualgyruscerebralcavernousmalformationacasereport
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Remarkable Clinical Improvement Following Microsurgical Resection of Left Lingual Gyrus Cerebral Cavernous Malformation: A Case Report

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