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Awake Microsurgical Resection for Optochiasmatic Cavernous Malformation.
Alejandro, Sebastián Aníbal; Serrato-Avila, Juan Leonardo; Paganelli, Samantha Lorena; Chang Mulato, José Ernesto; Vela Rojas, Evelyn Judith; Viera Neves, Ana Paula; de Souza Coelho, Daniela; Silva da Costa, Marcos Devanir; Dória-Netto, Hugo Leonardo; Campos Filho, José Maria; Chaddad-Neto, Feres.
Afiliação
  • Alejandro SA; Department of Neurosurgery, Universidade Federal de Sao Paulo, São Paulo-SP, Brazil.
  • Serrato-Avila JL; Department of Neurosurgery, Universidade Federal de Sao Paulo, São Paulo-SP, Brazil.
  • Paganelli SL; Department of Neurosurgery, Universidade Federal de Sao Paulo, São Paulo-SP, Brazil.
  • Chang Mulato JE; Department of Neurosurgery, Universidade Federal de Sao Paulo, São Paulo-SP, Brazil.
  • Vela Rojas EJ; Department of Neurosurgery, Universidade Federal de Sao Paulo, São Paulo-SP, Brazil.
  • Viera Neves AP; Department of Neurosurgery, Universidade Federal de Sao Paulo, São Paulo-SP, Brazil.
  • de Souza Coelho D; Department of Neurosurgery, Universidade Federal de Sao Paulo, São Paulo-SP, Brazil.
  • Silva da Costa MD; Department of Neurosurgery, Universidade Federal de Sao Paulo, São Paulo-SP, Brazil.
  • Dória-Netto HL; Department of Neurosurgery, Universidade Federal de Sao Paulo, São Paulo-SP, Brazil; Hospital Beneficência Portuguesa de São Paulo, São Paulo-SP, Brazil.
  • Campos Filho JM; Department of Neurosurgery, Universidade Federal de Sao Paulo, São Paulo-SP, Brazil; Hospital Beneficência Portuguesa de São Paulo, São Paulo-SP, Brazil.
  • Chaddad-Neto F; Department of Neurosurgery, Universidade Federal de Sao Paulo, São Paulo-SP, Brazil; Hospital Beneficência Portuguesa de São Paulo, São Paulo-SP, Brazil. Electronic address: fereschaddad@hotmail.com.
World Neurosurg ; 157: 159, 2022 01.
Article em En | MEDLINE | ID: mdl-34687930
Cavernous malformations (CM) affect approximately 0.5% of the population, with only a limited portion being located in the optic nerve and chiasma. The clinical presentation is determined by their locations. In the optochiasmatic CM, the acute visual disturbance is the most common presentation. Chronically, many show a progressive visual loss, chronic headache, and pituitary disturbances. The differential diagnosis includes optic glioma, arteriovenous malformations, aneurysm, craniopharyngioma, pituitary apoplexy, and inflammatory conditions. In Video 1, we present the case of a 39-year-old woman with a history of a hemorrhagic optochiasmatic cavernoma in 2016, who started using propranolol to reduce the lesion and symptoms of visual loss. Moreover, the first microsurgical resection of the cavernoma and evacuation of the hematoma were performed in the same year. Owing to evolvement from a partial to a total vision loss in the left eye and presentation of new symptoms in the right eye, the patient underwent microsurgical resection. The surgery was performed sequentially. An awake craniotomy was performed to monitor the chiasma and right optic nerve. The postoperative magnetic resonance imaging showed complete resection of the CM, and the patient fully recovered. The patient signed the institutional consent form, stating that he or she accepts the procedure and allows the use of his or her images and videos for any type of medical publications in conferences and/or scientific articles.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Quiasma Óptico / Neoplasias do Nervo Óptico / Procedimentos Neurocirúrgicos / Hemangioma Cavernoso do Sistema Nervoso Central / Microcirurgia Limite: Adult / Female / Humans Idioma: En Revista: World Neurosurg Assunto da revista: NEUROCIRURGIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Quiasma Óptico / Neoplasias do Nervo Óptico / Procedimentos Neurocirúrgicos / Hemangioma Cavernoso do Sistema Nervoso Central / Microcirurgia Limite: Adult / Female / Humans Idioma: En Revista: World Neurosurg Assunto da revista: NEUROCIRURGIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos