Brain stem cavernous malformations

A. P H Huang, Jui Sheng Chen, Chi Cheng Yang, Kuo Chuan Wang, Shih Hung Yang, Dar Ming Lai, Yong Kwang Tu

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

We retrospectively reviewed the clinical experience of 30 patients with brain stem cavernous malformations (BSCM) treated operatively and non-operatively at our hospital between 1983 and 2005 to elucidate the natural history of BSCM and the factors that affect surgical outcome. Inpatient charts, imaging studies, operative records, and follow-up results were evaluated. The average follow up was 48.5 months. Twenty-two patients (73.3%) received surgical extirpation and of these 86.4% improved or stabilized and 13.6% deteriorated with permanent or severe morbidity. There was no mortality. Size, preoperative status, and surgical timing were factors related to surgical outcome. In the non-operative group, 50% of the patients were the same or better, 25% deteriorated, and 25% died. With appropriate patient selection, resection of BSCM can be achieved with acceptable morbidity compared with the ominous natural history of these lesions.

Original languageEnglish
Pages (from-to)74-79
Number of pages6
JournalJournal of Clinical Neuroscience
Volume17
Issue number1
DOIs
Publication statusPublished - Jan 1 2010
Externally publishedYes

Fingerprint

Brain Stem
Natural History
Morbidity
Patient Selection
Inpatients
Mortality

Keywords

  • Brain stem hemorrhage
  • Cavernoma
  • Cavernous malformation

ASJC Scopus subject areas

  • Clinical Neurology
  • Physiology (medical)
  • Neurology

Cite this

Huang, A. P. H., Chen, J. S., Yang, C. C., Wang, K. C., Yang, S. H., Lai, D. M., & Tu, Y. K. (2010). Brain stem cavernous malformations. Journal of Clinical Neuroscience, 17(1), 74-79. https://doi.org/10.1016/j.jocn.2009.06.009

Brain stem cavernous malformations. / Huang, A. P H; Chen, Jui Sheng; Yang, Chi Cheng; Wang, Kuo Chuan; Yang, Shih Hung; Lai, Dar Ming; Tu, Yong Kwang.

In: Journal of Clinical Neuroscience, Vol. 17, No. 1, 01.01.2010, p. 74-79.

Research output: Contribution to journalArticle

Huang, APH, Chen, JS, Yang, CC, Wang, KC, Yang, SH, Lai, DM & Tu, YK 2010, 'Brain stem cavernous malformations', Journal of Clinical Neuroscience, vol. 17, no. 1, pp. 74-79. https://doi.org/10.1016/j.jocn.2009.06.009
Huang APH, Chen JS, Yang CC, Wang KC, Yang SH, Lai DM et al. Brain stem cavernous malformations. Journal of Clinical Neuroscience. 2010 Jan 1;17(1):74-79. https://doi.org/10.1016/j.jocn.2009.06.009
Huang, A. P H ; Chen, Jui Sheng ; Yang, Chi Cheng ; Wang, Kuo Chuan ; Yang, Shih Hung ; Lai, Dar Ming ; Tu, Yong Kwang. / Brain stem cavernous malformations. In: Journal of Clinical Neuroscience. 2010 ; Vol. 17, No. 1. pp. 74-79.
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