J Korean Neurosurg Soc.  2008 Apr;43(4):198-200. 10.3340/jkns.2008.43.4.198.

Giant Cavernous Malformation : A Case Report and Review of the Literature

• Son DW
• Lee SW
• Choi CH

• KMID: 1477597
• DOI: http://doi.org/10.3340/jkns.2008.43.4.198

Abstract

Giant cavernous malformations (GCMs) occur very rarely and little has been reported about their clinical characteristics. The authors present a case of a 20-year-old woman with a GCM. She was referred due to two episodes of generalized seizure. Computed tomography and magnetic resonance image demonstrated a heterogeneous multi-cystic lesion of 7 x 5 x 5 cm size in the left frontal lobe and basal ganglia, and enhancing vascular structure abutting medial portion of the mass. These fingings suggested a diagnosis of GCM accompanying venous angioma. After left frontal craniotomy, transcortical approach was done. Total removal was accomplished and the postoperative course was uneventful. GCMs do not seem differ clinically, surgically or histopathologically from small cavernous angiomas, but imaging appearance of GCMs may be variable. The clinical, radiological feature and management of GCMs are described based on pertinent literature review.

Keyword

Cavernous hemangioma; Venous angioma; Seizure

MeSH Terms

Basal Ganglia
Caves
Craniotomy
Female
Frontal Lobe
Gas Chromatography-Mass Spectrometry
Hemangioma
Hemangioma, Cavernous
Humans
Magnetic Resonance Spectroscopy
Seizures
Young Adult