CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery
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

1  Department of Neurosurgery, Neurosurgery Teaching Hospital, Baghdad, Iraq
,
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
› Author Affiliations

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.



Publication History

Received: 04 April 2020

Accepted: 05 August 2020

Publication Date:
16 October 2020 (online)

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