Management of left frontal cerebral cavernomas using neuronavigation: a report of two cases
DOI:
https://doi.org/10.59156/d8ghrz13Keywords:
Cerebral cavernoma, Frontal cortex, Neuronavigation, Vascular malformations of the brainAbstract
Background: cerebral cavernous malformations (CCMs) are vascular anomalies that can manifest with epileptic seizures, focal neurological deficits, or hemorrhages. Surgical treatment of lesions in eloquent areas presents a significant challenge for neurosurgeons.
Objectives: to describe the surgical approach to 2 patients with symptomatic left frontal CCMs, resected with neuronavigation assistance.
Case descriptions. we present the case of a 38-year-old man with a new-onset seizure and right hemiparesis; and the case of a 53-year-old woman with severe headache, vomiting, and right hemiparesis. In both cases, magnetic resonance imaging revealed cavernomas in the left frontal gyrus.
Surgery: both patients underwent left frontal craniotomy and complete resection of the cavernoma assisted by neuronavigation. No intra- or postoperative complications were recorded.
Conclusion: neuronavigation improves the safety and precision of cavernoma resection in eloquent regions. In both cases, complete resection was achieved with full functional recovery and no neurological sequelae.
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References
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