Complete resection of cavernous malformations in the hypothalamus:A case report and review of the literature

作     者：Xingchao Wang Zhenmin Wang Zhixian Gao Pinan Liu 

作者机构：Department of Neurosurgery Beijing Tiantan Hospital Capital Medical University Department of Neural Reconstruction Beijing Neurosurgery Institute Capital Medical University 

出 版 物：《Translational Neuroscience and Clinics》 (临床转化神经医学（英文版）)

年 卷 期：2016年第2卷第3期

页      面：199-202页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

基　　金：the the National Science and Technology Support Program of the 12th Five-Year of China(grant number:2012BAI12B03)to P.L the Natural Science Foundation of Beijing(grant number:7112049)to P.L 

主　　题：cavernous malformation deep-location hypothalamus surgery 

摘      要：Objective: Cavernous malformation(CM) originating from the hypothalamus is extremely rare and the deep location presents a challenge for its neurosurgical management. We report such a case to better understand its clinical features. Methods and Results: A 40-year-old male patient presented with impaired vision in the left eye. Magnetic resonance imaging(MRI) revealed a regularly shaped round lesion located in the suprasellar cistern, and a clinical diagnosis of hypothalamic CM was made. Complete microsurgical excision was performed via a right pterional craniotomy. The patient showed good recovery with no further visual acuity or field deficits postoperatively. No CM recurrence or rebleeding was seen on follow-up MRI scans performed over the course of two years. Conclusions: For patients with cavernous malformation in the hypothalamus, accurate preoperative diagnosis with complete surgical removal by an appropriate surgical approach can contribute to satisfactory outcomes.