Departments of1Neurosurgery and.
2Anesthesiology, Hospital Geral de Fortaleza, Ceará, Brazil.
Neurosurg Focus. 2018 Oct;45(VideoSuppl2):V4. doi: 10.3171/2018.10.FocusVid.18240.
Cavernous angiomas constitute 5%-10% of cerebrovascular malformations and may cause seizure and neurological deficits from bleeding. The authors present a case of a 44-year-old man with a 3.5-year history of epilepsy without complete seizure control despite anticonvulsants. Brain MRI showed a 2.8 cm cavernous angioma at the left pars opercularis, also known as the Broca's area. The patient underwent an awake craniotomy for intraoperative cortical-subcortical language and sensory-motor mapping for a complete resection of the cavernous angioma and the hemosiderin rim. The procedure was uneventful, and the patient evolved seizure free and with no deficits. The video can be found here: https://youtu.be/QajbLIsr_vg .
海绵状血管瘤占脑血管畸形的 5%-10%，可因出血引起癫痫发作和神经功能缺损。作者报告了一例 44 岁男性患者，有 3.5 年癫痫病史，尽管使用了抗癫痫药物，但仍未能完全控制发作。脑部 MRI 显示左侧额下回（也称为布罗卡区）有一个 2.8 厘米的海绵状血管瘤。患者接受了清醒开颅手术，进行术中皮层-皮层下语言和感觉-运动定位，以完全切除海绵状血管瘤和含铁血黄素环。手术过程顺利，患者无癫痫发作且无神经功能缺损。该视频可在此处查看：https://youtu.be/QajbLIsr_vg 。
