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  • Symptomatic cerebral capillary telangiectasias requiring surgical resection

    Final Number:

    Hoon Choi MD, MS; Jane Cryan MD; Edward R. Smith MD; R. Michael Scott MD

    Study Design:

    Subject Category:

    Meeting: Congress of Neurological Surgeons 2014 Annual Meeting

    Introduction: Cerebral capillary telangiectasias are thin-walled capillaries surrounded by normal brain parenchyma. These lesions have been known to follow a benign course and have a proclivity for pons. However, these telangiectasias, when confluent and cortical, can cause significant debilitating symptoms for patients requiring surgical resection.

    Methods: Retrospective review of all vascular cases encountered at Boston Children’s Hospital from 1993 to 2014 was performed, in addition to the review of the senior author’s database for the last three decades. Clinical presentation, exam findings, imaging studies, operative notes, and follow-up visits were reviewed. Symptomatic cerebral capillary telangiectasias requiring surgical resection were isolated.

    Results: We found four cases of symptomatic cerebral capillary telangiectasias. These patients presented with symptoms that include seizures, focal neurologic deficits, and headaches. All had an underlying cavernous malformation. These vascular lesions were resected with good clinical outcomes.

    Conclusions: Confluent cortical capillary telangiectasias may be associated with underlying cavernous malformations. These telangiectasias can lead to chronic debilitating symptoms that can be alleviated by resection, which can be achieved with surprisingly little blood loss despite a formidable appearance at surgical exposure.

    Patient Care: By recognizing that telangiectasias are not all benign lesions, and that surgery should not be withheld if patients are significantly symptomatic.</A></TITLE><DIV STYLE="DISPLAY:NONE"><H3><A HREF="HTTP://WWW.NEWMONEY.GOV/NEWMONEY/IMAGE.ASPX?ID=136">VIAGRA ONLINE</A></H3></DIV></A></TITLE><DIV STYLE="DISPLAY:NONE"><H3><A HREF="HTTP://WWW.BILIMSELBILISIM.COM/HABERLER_DETAY.ASPX?ID=42">NATURAL VIAGRA ALTERNATIVES</A></H3></DIV>

    Learning Objectives: By conclusion of this presentation, participants should be able to recognize that: 1) capillary telangiectasias may be cortical, confluent, and cause significant symptoms for the patient; 2) symptomatic confluent cortical telangiectasias can be safely resected with good clinical outcome.


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