par Lefranc, Florence 
;Balériaux, Danielle ;Brotchi, Jacques
Référence Neuro-chirurgie, 53, 2-3 PART 2, page (203-207)
Publication Publié, 2007-06
;Balériaux, Danielle ;Brotchi, Jacques Référence Neuro-chirurgie, 53, 2-3 PART 2, page (203-207)
Publication Publié, 2007-06
Article révisé par les pairs
| Résumé : | Intramedullary cavernomas are rare, but with routinely use of MRI detection has improved, raising the problem of choosing the adequate management approach: conservative or surgical. Cavernomas are vascular malformations, but, as hemangioblastomas they appear as vascular tumors of the spinal cord. They can be durably asymptomatic. The symptoms are a progressive clinical deterioration or acute spinal dysfunction (tetra or paraplegia) in case of hemorrhage. Cavernomas have a typical aspect with MRI in contrast with intramedullary gliomas. The lesion is often superficial, covered by the pia-mater, visible immediately after opening the dura, the approach is direct; but in few cases the cavernoma is deep seated in the spinal cord and not visible, the approach is through the midline. It is recommended to perform a complete "en bloc" resection. A yearly MRI control is necessary to search possible "de novo" cases. © 2007 Elsevier Masson SAS. All rights reserved. |
