image
ISSN (Online) : 2277-4572

MANAGEMENT OF LEFT FRONTAL CAVERNOMA

Abstract

Author(s): Amer Hayat Khan, Andee Dzulkarnaen Zakaria, Syed Hassan, Mohd Nizam Hashim, Ashfaq Ahmad, A. Aziz N. F

Cavernoma is blood vessels abnormalities where the blood vessels dilated. It may happen in various locations throughout the brain. Seizure, focal neurological deficit, haemorrhage and headache are most common symptoms of cavernoma. Cavernoma can be diagnosed using MRI, while its treatment options can either be observation, surgical excision or radio surgical depending on the natural course of the lesion, its location relative to eloquent areas of the brain, surgical accessibility and availability of surgeon skills. A 50 years old male patient having seizures was suspected to have low grade glioma after CT scan was done. However, after MRI was done, the patient was diagnosed with cavernoma on left frontal lobe. The treatment course in the hospital was mainly to treat the low grade glioma. However after low grade glioma was rule out, the treatment was stopped and treatment for cavernoma started. The treatment option to treat the patient is surgery excision. The most preferred diagnostic tool for cavernoma is MRI. The selections of treatment in management of cavernoma are observation, surgical excision or radiosurgery depending on the natural of the lesion, its location relative to eloquent areas of the brain, surgical accessibility and finally the neurosurgeon skills.