Surgical Treatment of Cerebral cavernous Malformations: Report of 6 Cases and pertinent Literature review

G. Sharma, Prasanna Karki, Sumit Joshi, D. B. Shah, P. Paudel, B. Gyawali, Baburam Pokharel, R. Panth
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Abstract

Cerebral cavernous Malformation (CCM) is a rare neurovascular malformation accounting 0.5% to 4% of all intracranial vascular malformations. People harboring CCM may be symptomatic or may present with seizure, hemorrhage or progressive neurological deficit. Asymptomatic CCM needs no treatment. The symptomatic CCM may or may not require intervention. The best treatment for symptomatic CCM is microsurgical excision. Over a period of five years we have been managing I2 patients with CCM, and out of them 6 patients who were symptomatic required microsurgical excision. Here, we discuss these 6 surgically managed patients and appropriate literature related to CCMs would be reviewed.
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脑海绵状血管瘤的外科治疗:附6例报告并文献复习
脑海绵状血管瘤是一种罕见的神经血管畸形,占颅内血管畸形的0.5% ~ 4%。患有CCM的人可能有症状,也可能表现为癫痫发作、出血或进行性神经功能障碍。无症状CCM无需治疗。症状性CCM可能需要也可能不需要干预。治疗症状性CCM的最佳方法是显微手术切除。在5年的时间里,我们治疗了2例CCM患者,其中6例有症状的患者需要显微手术切除。在这里,我们讨论这6例手术治疗的患者,并复习与CCMs相关的相关文献。
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