Indian Journal of Neurosurgery 2016; 05(03): 183-184
DOI: 10.1055/s-0036-1581979
Case Report
Thieme

Seizures: A Manifestation of Corpus Callosum Cavernoma

Saurabh Kumar Verma
1   Department of Neurosurgery, Army Hospital (R&R), Delhi Cantt, New Delhi, Delhi, India
,
Krishan Kumar Yadav
2   Department of Neurosurgery and Neurology, Command Hospital Air Force (CHAF), Bengaluru, India
,
Neeraj Basantani
3   Department of Neurosurgery, Armed Forces Medical College, Pune, India
,
Salil Gupta
2   Department of Neurosurgery and Neurology, Command Hospital Air Force (CHAF), Bengaluru, India
› Author Affiliations
Further Information

Publication History

09 November 2015

18 December 2015

Publication Date:
08 June 2016 (online)

Abstract

Seizures are rarely a manifestation of corpus callosum lesions, especially when the lesion is a cavernoma in the genu. Till date only one such case has been reported. Here, we report a 46-year-old male patient who presented with an episode of generalized seizures. Neurological examination was unremarkable. However, a computed tomographic scan revealed a small hemorrhage in the region of the corpus callosum. On further investigations, magnetic resonance imaging and angiography confirmed it to be a cavernoma. The patient was managed conservatively with antiepileptics in view of the location of the lesion and is on regular follow-up. There are no definitive guidelines for management of such patients, and they continue to pose a diagnostic and therapeutic challenge to the practicing neurosurgeon.

 
  • References

  • 1 Voigt K, Yaşargil MG. Cerebral cavernous haemangiomas or cavernomas. Incidence, pathology, localization, diagnosis, clinical features and treatment. Review of the literature and report of an unusual case. Neurochirurgia (Stuttg) 1976; 19 (2) 59-68
  • 2 Del Curling Jr O, Kelly Jr DL, Elster AD, Craven TE. An analysis of the natural history of cavernous angiomas. J Neurosurg 1991; 75 (5) 702-708
  • 3 Robinson JR, Awad IA, Little JR. Natural history of the cavernous angioma. J Neurosurg 1991; 75 (5) 709-714
  • 4 Gastaut JL, Bartolomei F. Partial epilepsy and corpus callosum involvement [in French]. Rev Neurol (Paris) 1993; 149 (06/07) 416-418
  • 5 Kayali H, Sait S, Serdar K, Kaan O, Ilker S, Erdener T. Intracranial cavernomas: analysis of 37 cases and literature review. Neurol India 2004; 52 (4) 439-442