Cavernous hemangioma: A cerebral vascular malformation

This is an automatically translated article.

The article was professionally consulted with Master - Doctor Huynh An Thien - Department of Medical Examination and Internal Medicine, Vinmec Da Nang International General Hospital.
Vascular malformation is the appearance of an abnormal vascular organization or lesion that produces many small cavities (lobules) that resemble a honeycomb or strawberry shape.

1. What is cavernous hemangioma?

Cavernous hemangioma is the appearance of small cavities, in which these small cavities contain blood. These blood-filled compartments are separated from each other by thin membranes, and the blood is at different stages of red blood cell degeneration.
Cavernoma without access is a large feeding artery and without outlet is a large draining vein resembling an arteriovenous malformation of the brain (AVM: Arteriovenous malformation) that often has small vessels through cavernous hemangiomas.
Most cavernous hemangiomas usually appear in the two hemispheres of the brain, sometimes in the posterior fossa or brain stem, rarely in the spinal cord.

U máu thể hang
U máu thể hang

2. Causes of cavernous hemangioma

Up to now, there is no definitive conclusion about the cause of cavernous hemangioma. Most cases of the disease occur spontaneously, but the researchers found a coincidence that cavernous hemangiomas are hereditary. In cases of genetic disease, an abnormality of chromosome 7 is found.

3. Manifestations of cavernous hemangioma


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Bệnh u máu thể hang có thể xuât hiện các cơn động kinh
Depending on the size and location of the cavernous hemangioma, patients have different clinical manifestations, in which prominent symptoms such as:
Appears seizures, neurological disorders, There are also cases where there are no symptoms at all. Increased intracranial pressure manifested by headache, nausea, vomiting, visual disturbances, somnolence. Hemorrhagic processes in the blood compartments are repeated. The blood compartments of cavernous hemangiomas can be at different ages of blood products. According to research data, the bleeding risk of cavernous hemangiomas is 0.5-1%/year. The rate of rebleeding varies from 4-10%/year. Depending on the size and location of the cavernous hemangioma, the degree and variety of bleeding, the complications caused by the cavernous hemangioma will cause convulsions and severe or mild neurological impairment.

4. Treatment of cavernous hemangioma


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Chụp cộng hưởng từ sọ não chẩn đoán u máu thể hang
To detect cavernous hemangiomas, when examining, the doctor will appoint a cranial magnetic resonance imaging (MRI) scan, depending on the patient, can inject drugs or not. Currently, this is the most accurate method of diagnosing cavernous hemangiomas because cerebral angiography will not detect cavernous hemangiomas.
Currently, to treat cavernous hemangiomas, there are two main methods: surgery and radiosurgery using classic gamma knife, rotating gamma knife, Cyberknife...
Radiosurgery can be said with The rotary gamma knife has many advantages, because it can treat cavernous hemangiomas in many different locations in the brain. This is also a less invasive method, causing less complications and unwanted complications during and after the treatment of cavernous hemangiomas for patients
Cavernous hemangioma is a dangerous disease, causing many painful complications for patients. patients, so need surgery to handle. However, with gamma knife radiosurgery, the rate of complications during and after surgery is greatly reduced, so patients can be trusted for treatment.
After surgery, the patient needs to stay in the hospital to receive care and monitor their health status after surgery. It is necessary to strictly follow the instructions of the doctor to recover soon, to avoid complications and accidents.
At Vinmec International General Hospital, with a team of skilled, professional and highly technical doctors and nurses, along with very modern equipment, we can meet the requirements as well as treatment and surgery. After surgery for cavernous hemangioma, patients and their families can safely choose for examination and treatment.

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.

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