A 24-year-old girl suddenly suffered hemiplegia at work, and was found to have hemorrhage in one side of the brain during an emergency hospitalization examination. The team of Dr. Ma Chunxiao from the Department of Neurosurgery of Henan Provincial People's Hospital consulted the patient, and after a detailed examination and physical examination, he was finally diagnosed with a cavernous hemangioma (CM) in the functional area with repeated bleeding leading to recurrence. Although ** was found, the patient's family was still anxious. Their questions focused on the following: Is a cavernous hemangioma a tumor?Will it be hereditary?Is the surgery safe?The patient is still young, can he recover from paralysis and aphasia?
Is a cranial cavernous hemangioma a tumor?Is it hereditary?
In fact, cerebral cavernous hemangioma (CM) is a well-defined benign vascular hamartoma, which is composed of irregularly thick sinus-like vascular cavities, and is not a true tumor. Cerebral cavernous hemangiomas can be single or multiple. The incidence is 016%~0.5%, accounting for 5% of cerebrovascular malformations, is common in adults aged 40 to 50 years, more in women than in men. The mainly** of cranial cavernous hemangiomas are congenital vascular malformations. These malformations may be caused by a combination of genetic, environmental and other factors. Of these, about 20% of intracerebral cavernous hemangiomas are hereditary or familial, with a positive family history and usually multiple lesions. Therefore, people with a family history of related medical conditions should pay special attention.
What are the main symptoms of cranial cavernous hemangioma?
Symptoms of cranial cavernous hemangiomas vary depending on the location, size, and amount of bleeding. Common symptoms include headache, nausea, vomiting, epilepsy, visual disturbances, etc., which are usually caused by tumor mass effect or bleeding. If the tumor is located in an important functional area, such as language, movement, etc., it may cause corresponding neurological deficits.
How do I know if I have a cavernous hemangioma?
The diagnosis of cranial cavernous hemangioma mainly relies on medical imaging examinations, such as CT and MRI. These tests can clearly show the location, size, and shape of the tumor, as well as its anatomical relationship to surrounding tissue. At the same time, the doctor will also perform blood tests and electroencephalogram and other examinations to evaluate the patient's condition and formulate a corresponding ** plan.
What are the best methods after diagnosis?
The methods of cerebral cavernous hemangioma mainly include conservative and microsurgical resection. If the lesion is diagnosed incidentally and there are no symptoms, regardless of location, only conservative** and annual MRI of the brain is required to assess for lesion growth. However, if the patient has headache, epilepsy, limb dysfunction, or even changes in consciousness, surgical intervention is required, and surgical resection can achieve the best effect. For non-functional CM, surgical resection is the preferred method, but the timing and strategy of surgical function of functional CM need to be controlled and completed by an experienced surgical team, and the understanding and cooperation of patients and their families are required.
This patient's "cavernous hemangioma" is located in the left side of the brain in a functional area that controls limb movement and speech. If surgery is not performed in time, it will inevitably lead to physical activity and language dysfunction, which will seriously affect the patient's quality of life. However, there are also challenges for surgeons, as surgery requires both minimally invasive neurosurgery and functional neurosurgery concepts, which means that surgery not only removes the lesion, but also protects important motor and language functional areas. Dr. Ma Chunxiao's team fully evaluated the location of the lesion and the important brain functional areas around it, and accurately removed the culprit of the brain functional area with the help of various lesion localization technologies such as navigation technology, neuromonitoring, and intraoperative ultrasound, and protected the motor and language functions. After the operation, the body movement and language function of the young girl recovered quickly, and the patient and her family also showed a long-lost cheerful mood, and the first effect was visible to the naked eye every day. The patient was discharged from the hospital and was able to walk completely independently and communicate with no barriers to language, and is now fully ** and back to work.
Remind everyone that if young people have epilepsy or limb discomfort, they should seek medical examination in time, and if they find a cerebral cavernous hemangioma, they need to be actively regulated**, most of them can**. Maintaining a healthy lifestyle, such as a balanced diet, moderate exercise, and maintaining a good mindset, is beneficial to the disease**.
Author: Li Juntao, Department of Neurosurgery, Henan Provincial People's Hospital Editor: Wang Pengfei Editor: Yang Hua).