J Neurol Surg B Skull Base 2024; 85(S 01): S1-S398
DOI: 10.1055/s-0044-1780119
Presentation Abstracts
Oral Abstracts

Management of Brain Stem Cavernomas in the Setting of Multiple Intracranial Cavernomas: A Retrospective Analysis of Single Institutional Experience

Abdulla Alobaid
1   King Fahad Medical City, Riyadh, Saudi Arabia
,
Mohammed Alaswad
1   King Fahad Medical City, Riyadh, Saudi Arabia
,
Ahmed Elkholy
1   King Fahad Medical City, Riyadh, Saudi Arabia
,
Abdulnasser Alwably
2   Dar Al Uloom University, Riyadh, Kingdom of Saudi Arabia
,
Rakan Shaheen
2   Dar Al Uloom University, Riyadh, Kingdom of Saudi Arabia
,
Shaimaa Jamous
2   Dar Al Uloom University, Riyadh, Kingdom of Saudi Arabia
,
Hana Hallak
3   King Faisal Specialist Hospital, Riyadh, Saudi Arabia
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    Background: The influence of multiple cerebral cavernomas on the brain stem cavernoma management not yet clearly defined.

    Objectives: Studying the effect of presence of other cerebral cavernomas on the management of brain stem cavernomas.

    Methods: After revision of the electronic records between the year 2007 and 2023, patients who have multiple intracranial cavernomas including the brain stem and at least 2 years follow-up were selected and divided into two groups. The (nonconcomitant) group (brain stem cavernomas only) and the (concomitant) group (brainstem and non-brain stem cavernomas). Retrospective comparative study was conducted using the demographic criteria, brain stem bleeding difference rates between two groups and its effect on outcome.

    Results: A total of 180 patients were recruited from the electronic records. Only 43 patients fulfilled the criteria. They were divided into two groups. The nonconcomitant brain stem cavernoma (22) and concomitant group (21).

    The concomitant group included 13 females and 8 males and their main presentation was seizures (47.62%). Seventeen patients were managed conservatively and 4 patients underwent surgical resection.

    The nonconcomitant brain stem cavernomas group consisted of 13 females and 9 males. Their main presentation was focal neurological deficits (59.09%). Five patients were treated surgically and 17 conservatively. Brain stem bleeding in the concomitant group was statistically significant than nonconcomitant group. (χ 2 (1) = 8.38, p = 0.004, Cramer’s V = 0.44.). However the outcome difference was not statistically significant between the two groups after 2 years of follow-up. (U = 180.5, p =.227, r = 0.22.).

    Conclusion: In multiple intracranial cavernomas, the risk of concomitant brain stem cavernoma bleeding is more than nonconcomitant single brain stem cavernomas.


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    Die Autoren geben an, dass kein Interessenkonflikt besteht.

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    Artikel online veröffentlicht:
    05. Februar 2024

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