Evidence Based Surgery Cerebrovascular Sia/Stoodley
53/female/ vertigo,fatigue,HA
 
 
Question <ul><li>What are the indications for surgical removal of supratentorial cavernomas? </li></ul>
Search Strategies <ul><li>P: Patient with supratentorial cavernoma </li></ul><ul><li>I : Surgery/ Surgical removal </li></...
 
 
 
Paper grading 1. Highly relevant 4 2.Moderately relevant 53 3.Little or no relevance 37
NHMRC Levels of Evidence
118 patients( 1992-2005) Indications:  Epilepsy(69), Deficit(37), Raised ICP(6) and Chronic HA(6) Hemorrhage in 38% of pts.
46 patients with solitary supratentorial CMs Seizures(24) Focal deficit(16) Seizures( 6) 16 pts( craniotomy) & 30 (SRS) Co...
 
<ul><li>42 children </li></ul><ul><ul><li>35 supratentorial brain lesions </li></ul></ul><ul><ul><li>5 infratentorial </li...
 
Conclusion <ul><li>Accessible lesion with focal deficit, non-eloquent, symptomatic or seizure </li></ul><ul><li>Less acces...
Cavernoma <ul><li>Aka cavernous hemangioma, angioma </li></ul><ul><li>Well circumscribed, benign vascular harmatoma consis...
Upcoming SlideShare
Loading in …5
×

Supratentorial cavernoma

1,277 views

Published on

Published in: Health & Medicine
0 Comments
3 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
1,277
On SlideShare
0
From Embeds
0
Number of Embeds
96
Actions
Shares
0
Downloads
0
Comments
0
Likes
3
Embeds 0
No embeds

No notes for slide
  • .
  • Supratentorial cavernoma

    1. 1. Evidence Based Surgery Cerebrovascular Sia/Stoodley
    2. 2. 53/female/ vertigo,fatigue,HA
    3. 5. Question <ul><li>What are the indications for surgical removal of supratentorial cavernomas? </li></ul>
    4. 6. Search Strategies <ul><li>P: Patient with supratentorial cavernoma </li></ul><ul><li>I : Surgery/ Surgical removal </li></ul><ul><li>C: Patient with conservative management </li></ul><ul><li>0: Neurological outcome </li></ul>
    5. 10. Paper grading 1. Highly relevant 4 2.Moderately relevant 53 3.Little or no relevance 37
    6. 11. NHMRC Levels of Evidence
    7. 12. 118 patients( 1992-2005) Indications: Epilepsy(69), Deficit(37), Raised ICP(6) and Chronic HA(6) Hemorrhage in 38% of pts.
    8. 13. 46 patients with solitary supratentorial CMs Seizures(24) Focal deficit(16) Seizures( 6) 16 pts( craniotomy) & 30 (SRS) Conclusion: lesionectomy > SRS in seizure control and rebleeding rate
    9. 15. <ul><li>42 children </li></ul><ul><ul><li>35 supratentorial brain lesions </li></ul></ul><ul><ul><li>5 infratentorial </li></ul></ul><ul><ul><li>2 spinal </li></ul></ul>
    10. 17. Conclusion <ul><li>Accessible lesion with focal deficit, non-eloquent, symptomatic or seizure </li></ul><ul><li>Less accessible lesion that repeatedly bleed with progressive neurologic deterioration </li></ul>
    11. 18. Cavernoma <ul><li>Aka cavernous hemangioma, angioma </li></ul><ul><li>Well circumscribed, benign vascular harmatoma consisting of irregular thick and thin walled sinusoidal vascular channels located within brain but lacking of intervening neural parenchyma, large feeding arteries, or large draining vein. </li></ul>

    ×