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Cavernous hemangioma of the spinal cord – conservative or operative management?

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Kondziella D, Brodersen P, Laursen H, Hansen K. Cavernous hemangioma of the spinal cord – conservative or operative management?

Acta Neurol Scand 2006: 114: 287–290.

© 2006 The Authors Journal compilation 2006 Blackwell Munksgaard.

Once believed to be extremely uncommon, due to magnetic resonance imaging cavernous hemangiomas of the spinal cord are detected with increasing frequency. Management of both symptomatic and asymptomatic intramedullary cavernous hamangiomas is therefore of growing importance. However, experience with treatment and follow-up is very limited. In particular, patients with multiple central nervous system cavernous hemangiomas represent a therapeutical dilemma. We present a patient with a ruptured intramedullary and multiple cerebral cavernous hemangiomas and a survey of current knowledge of epidemiology, pathophysiology and treatment options. We conclude that the benefit of operative treatment possibly decreases with the number of clinically silent vascular malformations.
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Keywords: bleeding; cavernoma; cavernous hemangioma; conservative treatment; operative excision; spinal cord; treatment options

Document Type: Research Article

Affiliations: 1: Department of Neurology, Rigshospitalet University Hospital, Copenhagen, Denmark 2: Department of Neuropathology, Rigshospitalet University Hospital, Copenhagen, Denmark

Publication date: 2006-10-01

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