Stereotactic laser interstitial thermal therapy for brainstem cavernous malformations: two preliminary cases

被引：0
作者：
Nicholas T. Gamboa
Michael Karsy
Rajiv R. Iyer
Robert J. Bollo
Richard H. Schmidt
机构：
[1] Department of Neurosurgery,Division of Pediatric Neurosurgery, Primary Children’s Hospital
[2] Clinical Neurosciences Center,undefined
[3] University of Utah,undefined
来源：
Acta Neurochirurgica | 2020年 / 162卷
关键词：
Brainstem; Cavernous malformation; Cavernoma; Laser interstitial thermal therapy; Magnetic resonance imaging; Minimally invasive; Stereotactic laser ablation; Thermometry;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
Brainstem cavernous malformations (CMs) often have high hemorrhage rates and significant posthemorrhage morbidity. The authors present two cases in which magnetic resonance thermography-guided laser interstitial therapy was used for treatment of pontine CMs after recurrent hemorrhage. Both patients showed significant symptomatic improvement and were hemorrhage-free at 12- and 6-month follow-up, respectively. Each had radiographic evidence of lesion involution on serial follow-up imaging. These early results demonstrate this treatment modality may be technically safe; however, larger case numbers and longer follow-up are needed to demonstrate efficacy.
引用
收藏
页码：1771 / 1775
页数：4
相关论文
共 84 条
  • [1] Abla AA(2011)Advances in the treatment and outcome of brainstem cavernous malformation surgery: a single-center case series of 300 surgically treated patients Neurosurgery 68 403-414
  • [2] Lekovic GP(2019)Cavernous angiomas: deconstructing a neurosurgical disease J Neurosurg 131 1-13
  • [3] Turner JD(2009)Cavernous malformations: natural history, diagnosis and treatment Nat Rev Neurol 5 659-670
  • [4] de Oliveira JG(1994)Cavernous malformations of the brain stem. A review of 139 cases Acta Neurochir 130 35-46
  • [5] Porter R(2015)Brainstem cavernous malformations: surgical results in 104 patients and a proposed grading system to predict neurological outcomes Neurosurgery 76 265-277
  • [6] Spetzler RF(2009)Surgical treatment of brainstem cavernous malformations Surg Neurol 72 S3-S9
  • [7] Awad IA(2013)Brainstem cavernous malformations: 1390 surgical cases from the literature World Neurosurg 80 89-93
  • [8] Polster SP(2011)The natural history of intracranial cavernous malformations Neurosurg Focus 30 E24-843
  • [9] Batra S(2019)Glioblastoma treated with magnetic resonance imaging-guided laser interstitial thermal therapy: safety, efficacy, and outcomes Neurosurgery 84 836-824
  • [10] Lin D(1995)The natural history of cerebral cavernous malformations J Neurosurg 83 820-53
123456789