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Management of brain stem cavernomas in setting of multiple intracranial cavernomas (a retrospective analysis of single institutional experience).

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Last updated: 27 Dec 2024

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Abstract

ABSTRACT
BACKGROUND
Cavernomas in the brain stem are associated with higher hemorrhagic rates. Several studies pressed on the surgical techniques, safety and outcome results of brain stem cavernomas. In this study, we tried to find the effect of multiple cerebral cavernomas on management of brain stem cavernomas.
OBJECTIVES
To describe our institutional experience in managing the brain stem cavernomas in setting of multiple cerebral cavernomas.
METHODS
Using retrospective analysis for the patients who have brain stem cavernomas , older than 18 years old and at least 2 years follow up , we divided them into two groups: The (non- concomitant) group (brain stem cavernomas only) and the (concomitant) group (brainstem and non-brain stem cavernomas). . Comparative study was conducted using the demographic criteria, clinical and radiological data, management strategy, cavernomas bleeding difference rates between two groups and its effect on outcome
RESULTS
Patients were divided into two groups: concomitant group (n= 21) (48.8%)) and non-concomitant group (n= 22) (51.2%)). Radiological types according to modified zabramski classification, the hemorrhagic types are IA, IB, II which accounts for 6 (27.3%) in non-concomitant group, and 15 (71.4%) in concomitant group. (χ2= 8.384, p value 0.004). Outcome using Modified Rankin Scale showed no difference between two group's outcome neither on presentation nor after a minimum of 2 years (u=199.500, p= 0.397) and (u=180.500, p=0.145 respectively).
CONCLUSION
We concluded that the Multiplicity of cerebral cavernomas carries a statistically significant risk for hemorrhagic presentation in brain stem cavernoms.

DOI

10.21608/pajn.2024.300038.1135

Keywords

concomitant, non -concomitant, Brain stem, cavernomas

Authors

First Name

Mohammed Mohammed

Last Name

Alaswad

MiddleName

Mahmoud

Affiliation

neurosurgery, Ismailia Suez canal university , Ismailia , Egypt

Email

mohammedalaswed@med.suez.edu.eg

City

ALOLYA , DABAB STREET

Orcid

-

First Name

Abdulla

Last Name

Alobaid

MiddleName

Omar

Affiliation

Neurosurgery consultant, king Fahad medical city, national neuroscience institute, Riyadh, Kingdom of Saudi Arabia

Email

aalobaid@kfmc.med.sa

City

-

Orcid

-

First Name

Ahmed

Last Name

Elkholy

MiddleName

R

Affiliation

Faculty of Medicine-Tanta University-31527 Tanta

Email

elkholyneurosurgery@yahoo.com

City

Tanta

Orcid

-

First Name

Yasser

Last Name

Orz

MiddleName

-

Affiliation

Neurosurgery consultant, king Fahad medical city, national neuroscience institute, Riyadh, Kingdom of Saudi Arabia

Email

yorz@kfmc.med.sa

City

Riyadh

Orcid

-

First Name

Mahmoud

Last Name

Al Yamany

MiddleName

-

Affiliation

Neurosurgery consultant, king Fahad medical city, national neuroscience institute, Riyadh, Kingdom of Saudi Arabia

Email

myamany@kfmc.med.sa

City

Riyadh

Orcid

-

First Name

Mohammed

Last Name

Bafaqeeh

MiddleName

saeed

Affiliation

Neurosurgery consultant, king Fahad medical city, national neuroscience institute, Riyadh, Kingdom of Saudi Arabia

Email

mbafaqeeh@kfmc.med.sa

City

Riyadh

Orcid

-

First Name

Gmaan

Last Name

Alzahrani

MiddleName

a

Affiliation

Neurosurgery consultant, king Fahad medical city, national neuroscience institute, Riyadh, Kingdom of Saudi Arabia

Email

jalzahrani@kfmc.med.sa

City

Riyadh

Orcid

-

First Name

Ahmed

Last Name

Sallam

MiddleName

M.

Affiliation

Neurosurgery assistant consultant, king Fahad medical city, national neuroscience institute, Riyadh, Kingdom of Saudi Arabia

Email

amsallam@kfmc.med.sa

City

Riyadh

Orcid

-

First Name

Abdulnasser

Last Name

Alwably

MiddleName

Abdullah

Affiliation

College of Medicine, Dar Al-uloom University, Riyadh, Kingdom of Saudi Arabia

Email

alwablyy@gmail.com

City

Riyadh

Orcid

-

First Name

Shaimaa

Last Name

Jamous

MiddleName

Tawfik

Affiliation

MBBS‏, medical intern , Riyadh, Kingdom of Saudi Arabia

Email

shaimaa.ja20@gmail.com

City

Riyadh

Orcid

-

First Name

Rakan

Last Name

Shaheen

MiddleName

S. n

Affiliation

College of Medicine, Dar Al Uloom University, Riyadh, Saudi Arabia

Email

rakanshaheen18@gmail.com

City

Riyadh

Orcid

-

First Name

Hana

Last Name

hallak

MiddleName

-

Affiliation

MBBS ,KFSHRC, Riyadh, Saudi Arabia

Email

hanahallak00@gmail.com

City

Riyadh

Orcid

-

Volume

19

Article Issue

2

Related Issue

52117

Issue Date

2024-12-01

Receive Date

2024-06-28

Publish Date

2024-12-01

Page Start

171

Page End

177

Print ISSN

1319-6995

Online ISSN

2735-4482

Article File

PAJN_Volume 19_Issue 2_Pages 171-177.pdf

PDF . 858.3kB

Link

https://pajn.journals.ekb.eg/article_397280.html

Detail API

https://pajn.journals.ekb.eg/service?article_code=397280

Order

12

Type

Original Articles

Type Code

1,544

Publication Type

Journal

Publication Title

Pan Arab Journal of Neurosurgery

Publication Link

https://pajn.journals.ekb.eg/

MainTitle

Management of brain stem cavernomas in setting of multiple intracranial cavernomas (a retrospective analysis of single institutional experience).

Details

Type

Article

Created At

27 Dec 2024