1. What is a cavernoma?
Cavernomas are congenital benign, low-pressure cerebral vascular tangles that can be found in many places such as the brain, cerebellum, brainstem, spinal cord and eyeball. Cavernomas are usually one, but sometimes there may be more than one in inherited individuals. Cavernomas are the second most common after high-pressure cerebral vascular tangles (arterio-venous malformations). The incidence of cavernomas in the population is rare, around 0.02-0.6%. Cavernomas occur equally frequently in men and women of both sexes. Their size can range from very small millimetric diameters to 1.5-3 cm.
2.Cavernoma symptoms and complaints?
Cavernoma:
<Headache
Epilepsy (epilepsy) seizures
Complaints and symptoms depending on location, such as There may be symptoms. For example, while Cavernomas in the brain cause headaches or epileptic seizures, Cavernomas in the brainstem, such as critical areas, may cause symptoms such as paralysis, balance disorder or eye muscle paralysis after repeated brain hemorrhages.
3. Cavernoma brain hemorrhages are dangerous. Is it?
Cavernomas may progress as very small, silent or micro-brain hemorrhages that the patient cannot recognize, rather than resulting in major brain hemorrhages or stroke like other high-flow vascular tangles (arterio-venous malformations).
4.Why do cavernomas bleed?
There are risk factors;
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High blood pressure (blood pressure) )
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Pregnancy
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Sports that require effort
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Stress
As a result of such situations, brain hemorrhage occurs by triggering the cavernoma.
5.How are cavernomas diagnosed?
Cavernomas can be visualized by medicated Brain MRI (Magnetic Resonance) test method.
6.How often do cavernomas cause brain hemorrhage?
Recurrent brainstem bleeding rates are higher. Each brain cavernoma hemorrhage may lead to the risk of epilepsy or new findings in the brain, which may turn into permanent disabilities.
7.What is the treatment for cavernoma?
Nothing. Cavernomas that have no complaints or are detected incidentally are only surgically removed using the microsurgery method for those who have recurrent brain bleeding and epileptic seizures while being followed up, or those that are located in vital parts of the brain, such as the brainstem and other critical areas.
8.Is there a place for radiation therapy in cavernomas?
This is a very controversial issue. Cavernomas of critical regions of the brain are not operated on but are treated with radiation therapy (gamma or cyber ray) and are operated on due to brain hemorrhage in their subsequent follow-up.
9.Can epileptic seizures be cured in patients with cavernoma?
With microsurgery, not only the cavernoma is removed, but also the tissues around it that are destroyed by the cavernoma are cleaned, so medications are not sufficient. His epileptic seizures are also treated with surgical treatment.
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