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Surgical removal of cavernous angioma in the medulla oblongata. A case report.
Neurosurg Rev. 1997; 20(2):128-31.NR

Abstract

Recent advances in neuroradiology have enabled us to approach cavernous angioma in the medulla oblongata, rather rare vascular lesion in the central nervous system. We describe a such surgical case without additional neurological symptoms and discuss surgical indications in this paper. A 61-year-old woman presented with vertigo and swallowing disturbance. T1-weighted magnetic resonance image (MRI) showed a low intensity mass in the dorsolateral portion of the medulla oblongata, and T2-weighted imaging revealed a hemosiderin rim surrounding the lesion. Angiography showed no abnormalities. Surgery using far lateral approach achieved complete removal of the mass and hematoma. Histological examination of the surgical specimen disclosed cavernous angioma. This case suggests that direct surgery can be recommended for cavernous angioma located in the dorsal or lateral medulla oblongata to remove the hematoma and angioma if bleeding clearly provokes neurological symptoms.

Authors+Show Affiliations

Abe M
Department of Neurosurgery, Iwate Medical University, Japan.
Ogawa A
No affiliation info available
Yoshida Y
No affiliation info available
Hidaka T
No affiliation info available
Suzuki M
No affiliation info available
Takahashi S
No affiliation info available

MeSH

Brain NeoplasmsCerebral HemorrhageFemaleHemangioma, CavernousHumansMagnetic Resonance ImagingMedulla OblongataMiddle AgedNeurologic Examination

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

9226673

Citation

Abe, M, et al. "Surgical Removal of Cavernous Angioma in the Medulla Oblongata. a Case Report." Neurosurgical Review, vol. 20, no. 2, 1997, pp. 128-31.
Abe M, Ogawa A, Yoshida Y, et al. Surgical removal of cavernous angioma in the medulla oblongata. A case report. Neurosurg Rev. 1997;20(2):128-31.
Abe, M., Ogawa, A., Yoshida, Y., Hidaka, T., Suzuki, M., & Takahashi, S. (1997). Surgical removal of cavernous angioma in the medulla oblongata. A case report. Neurosurgical Review, 20(2), 128-31.
Abe M, et al. Surgical Removal of Cavernous Angioma in the Medulla Oblongata. a Case Report. Neurosurg Rev. 1997;20(2):128-31. PubMed PMID: 9226673.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical removal of cavernous angioma in the medulla oblongata. A case report. AU - Abe,M, AU - Ogawa,A, AU - Yoshida,Y, AU - Hidaka,T, AU - Suzuki,M, AU - Takahashi,S, PY - 1997/1/1/pubmed PY - 1997/1/1/medline PY - 1997/1/1/entrez SP - 128 EP - 31 JF - Neurosurgical review JO - Neurosurg Rev VL - 20 IS - 2 N2 - Recent advances in neuroradiology have enabled us to approach cavernous angioma in the medulla oblongata, rather rare vascular lesion in the central nervous system. We describe a such surgical case without additional neurological symptoms and discuss surgical indications in this paper. A 61-year-old woman presented with vertigo and swallowing disturbance. T1-weighted magnetic resonance image (MRI) showed a low intensity mass in the dorsolateral portion of the medulla oblongata, and T2-weighted imaging revealed a hemosiderin rim surrounding the lesion. Angiography showed no abnormalities. Surgery using far lateral approach achieved complete removal of the mass and hematoma. Histological examination of the surgical specimen disclosed cavernous angioma. This case suggests that direct surgery can be recommended for cavernous angioma located in the dorsal or lateral medulla oblongata to remove the hematoma and angioma if bleeding clearly provokes neurological symptoms. SN - 0344-5607 UR - https://www.unboundmedicine.com/medline/citation/9226673/Surgical_removal_of_cavernous_angioma_in_the_medulla_oblongata__A_case_report_ L2 - http://www.diseaseinfosearch.org/result/457 DB - PRIME DP - Unbound Medicine ER -