Hemorrhage of the hypothalamic cavernous malformation. Clinical case of surgical treatment

IF 1.3 Q4 CLINICAL NEUROLOGY Brain Hemorrhages Pub Date : 2024-10-01 DOI:10.1016/j.hest.2024.04.005

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Abstract

Objective

To study the clinical and neurologic symptoms and to determine the indications for surgical treatment of hypothalamic cavernous malformations.

Methods

We reviewed scientific literature devoted to hypothalamic cavernomas and compared the clinical symptomatology with our clinical case.

Results

The article describes the clinical manifestations of the presented case. A comparative analysis of previously described cases was carried out, and the retionale was presented on the possibility of clinical manifestations depending on the direction of extra-focal hemorrhage. Diagnostic and differential diagnostic aspects of cavernomas of this localization are also described. A case of successful surgical treatment of cavernous malformation of the hypothalamus is presented, and it is also shared with the motives of supporters of conservative treatment by other authors.

Conclusion

This case and literature review illustrate the variability of neurological symptoms of hypothalamic cavernous malformation haemorrhage and describe indications for surgical treatment.

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下丘脑海绵状畸形出血。手术治疗的临床病例

目的研究下丘脑海绵状瘤的临床和神经系统症状，并确定手术治疗的适应症。方法我们查阅了有关下丘脑海绵状瘤的科学文献，并将临床症状与我们的临床病例进行了比较。文章对以前描述过的病例进行了比较分析，并就病灶外出血方向可能导致的临床表现提出了理论依据。此外，还介绍了这种定位的海绵体瘤的诊断和鉴别诊断方面的问题。结论本病例和文献综述说明了下丘脑海绵状畸形出血神经症状的可变性，并描述了手术治疗的适应症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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