Download PDF
Open Access
CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2021; 40(03): e268-e271
DOI: 10.1055/s-0040-1718427
Case Report | Relato de Caso

Remarkable Clinical Improvement Following Microsurgical Resection of Left Lingual Gyrus Cerebral Cavernous Malformation: A Case Report

Authors

  • Samer S. Hoz 

    1   Department of Neurosurgery, Neurosurgery Teaching Hospital, Baghdad, Iraq

  • Zahraa F. Al-Sharshahi 

    1   Department of Neurosurgery, Neurosurgery Teaching Hospital, Baghdad, Iraq

  • Mustafa M. Altaweel

    1   Department of Neurosurgery, Neurosurgery Teaching Hospital, Baghdad, Iraq

  • Saja A. Albanaa

    2   College of Medicine, Baghdad University, Baghdad, Iraq
Further Information
Also available at
  Permissions and Reprints

Abstract

Introduction Cerebral cavernous malformations (CCMs) are collections of dilated and irregular capillaries in the brain. Cerebral cavernous malformations are predominantly supratentorial; occipital CCMs are rare. Surgical removal is indicated for CCMs with recurrent hemorrhage, refractory seizures, and expanding lesions.

Case Description We describe a case of a 15-year-old male who presented with repeated tonic-clonic seizures and right homonymous hemianopia of 3-week duration. Magnetic resonance imaging (MRI) showed a mass located on the left medial occipital lobe, specifically in the left lingual gyrus. The T2-weighted and T2-gradient echo images confirmed the diagnosis of a CCM. Total microscopic resection was achieved. There were no surgical complications. The visual deficit improved, and the patient was seizure-free on subsequent follow-up visits.

Conclusion Surgical resection of an occipital CCM resulted in a remarkable improvement in terms of seizures and visual field deficits.

Keywords

cerebral cavernous malformations - left lingual gyrus - microsurgical resection


Publication History

Received: 04 April 2020

Accepted: 05 August 2020

Article published online:
16 October 2020

© 2020. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil