- Series Editor’s Preface
- Contributors
- 1 Nonaneurysmal Subarachnoid Hemorrhage
- 2 Blister Aneurysm of the Internal Carotid Artery
- 3 Posterior Communicating Artery Aneurysm Presenting with and without Third Nerve Palsy
- 4 Incidental Anterior Communicating Artery Aneurysm
- 5 Ruptured Anterior Communicating Artery Aneurysm
- 6 Ruptured Middle Cerebral Artery Aneurysm Presenting with Hematoma
- 7 Unruptured Ophthalmic Artery Aneurysm Presenting with Vision Loss
- 8 Small Incidental Internal Carotid Artery Terminus Aneurysm
- 9 Medium-Sized Incidental Anterior Choroidal Artery Aneurysm
- 10 Giant Aneurysm of the Middle Cerebral Artery Presenting with Headache
- 11 Ruptured Pericallosal Artery Aneurysm
- 12 Incidental Medium-Sized Basilar Tip Aneurysm
- 13 Wide-Necked Large Ruptured Basilar Tip Aneurysm
- 14 Giant Cavernous-Segment Internal Carotid Artery Aneurysm Presenting with Cranial Neuropathy
- 15 Symptomatic Cervical Carotid Artery Stenosis
- 16 Asymptomatic Cervical Carotid Stenosis
- 17 Acute Middle Cerebral Artery Occlusion
- 18 Symptomatic Intracranial Arterial Stenosis
- 19 Moyamoya Vasculopathy Presenting with Transient Neurological Deficit
- 20 Cerebral Venous Sinus Thrombosis Presenting with Altered Mental Status
- 21 Incidental Unruptured Arteriovenous Malformation
- 22 Unruptured Eloquent Arteriovenous Malformation Presenting with Seizure
- 23 Unruptured Eloquent Arteriovenous Malformation Presenting with Arm Weakness
- 24 Carotid Cavernous Fistula Presenting with Vision Loss
- 25 Incidental Ethmoidal Dural Arteriovenous Fistula
- 26 Transverse Sinus Arteriovenous Fistula Presenting with Tinnitus
- 27 Large Temporal/Insular Cavernous Malformation Presenting with Headaches
- 28 Small Cavernous Malformation Presenting with Medically Refractory Epilepsy
- 29 Ruptured Brainstem Cavernous Malformation
- 30 Spinal Dural Arteriovenous Fistula Presenting with Myelopathy
- 31 Ruptured Spinal Arteriovenous Malformation
- 32 Ruptured Conus Medullaris Arteriovenous Malformation
- Index
(p. 259) Small Cavernous Malformation Presenting with Medically Refractory Epilepsy
- Chapter:
- (p. 259) Small Cavernous Malformation Presenting with Medically Refractory Epilepsy
- Author(s):
John R. Williams
, Gabrielle A. White-Dzuro
, Michael R. Levitt
, and Andrew L. Ko
- DOI:
- 10.1093/med/9780190887728.003.0028
Abstract: Cerebral cavernous malformations are a rare but important cause of medically refractory epilepsy. Although medical management is important in seizure control, surgical resection remains the most effective method of both reducing seizure frequency and eliminating hemorrhage risk. The prognosis for seizure control with resection is excellent. Adjacent hemosiderin-stained brain is resected unless the cortical location is highly eloquent. A key part of the management is the decision as to when to offer surgery. Radiosurgery is generally felt to be an ineffective treatment for cavernous malformations. This chapter discusses the diagnosis, presurgical workup, and operative nuances that should be considered when treating this disease.
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- Series Editor’s Preface
- Contributors
- 1 Nonaneurysmal Subarachnoid Hemorrhage
- 2 Blister Aneurysm of the Internal Carotid Artery
- 3 Posterior Communicating Artery Aneurysm Presenting with and without Third Nerve Palsy
- 4 Incidental Anterior Communicating Artery Aneurysm
- 5 Ruptured Anterior Communicating Artery Aneurysm
- 6 Ruptured Middle Cerebral Artery Aneurysm Presenting with Hematoma
- 7 Unruptured Ophthalmic Artery Aneurysm Presenting with Vision Loss
- 8 Small Incidental Internal Carotid Artery Terminus Aneurysm
- 9 Medium-Sized Incidental Anterior Choroidal Artery Aneurysm
- 10 Giant Aneurysm of the Middle Cerebral Artery Presenting with Headache
- 11 Ruptured Pericallosal Artery Aneurysm
- 12 Incidental Medium-Sized Basilar Tip Aneurysm
- 13 Wide-Necked Large Ruptured Basilar Tip Aneurysm
- 14 Giant Cavernous-Segment Internal Carotid Artery Aneurysm Presenting with Cranial Neuropathy
- 15 Symptomatic Cervical Carotid Artery Stenosis
- 16 Asymptomatic Cervical Carotid Stenosis
- 17 Acute Middle Cerebral Artery Occlusion
- 18 Symptomatic Intracranial Arterial Stenosis
- 19 Moyamoya Vasculopathy Presenting with Transient Neurological Deficit
- 20 Cerebral Venous Sinus Thrombosis Presenting with Altered Mental Status
- 21 Incidental Unruptured Arteriovenous Malformation
- 22 Unruptured Eloquent Arteriovenous Malformation Presenting with Seizure
- 23 Unruptured Eloquent Arteriovenous Malformation Presenting with Arm Weakness
- 24 Carotid Cavernous Fistula Presenting with Vision Loss
- 25 Incidental Ethmoidal Dural Arteriovenous Fistula
- 26 Transverse Sinus Arteriovenous Fistula Presenting with Tinnitus
- 27 Large Temporal/Insular Cavernous Malformation Presenting with Headaches
- 28 Small Cavernous Malformation Presenting with Medically Refractory Epilepsy
- 29 Ruptured Brainstem Cavernous Malformation
- 30 Spinal Dural Arteriovenous Fistula Presenting with Myelopathy
- 31 Ruptured Spinal Arteriovenous Malformation
- 32 Ruptured Conus Medullaris Arteriovenous Malformation
- Index
