Case Series on Vascular Malformations Presenting as Seizures
Journal Title: International Journal of Neurology and Neurosurgery - Year 2019, Vol 11, Issue 2
Abstract
Intracranial vascular malformations, that includes arteriovenous malformations and cavernous malformations, are the most common cause of intracerebral hemorrhage in young adults. Seizures related to cavernous malformations seems to be attributable to surrounding hemosiderin deposition through leaky endothelial junctions. The estimated risk of occurrence of seizures in patients with vascular malformations is 1.5% per person-year of observation. Lesionectomy (excision of the vascular malformation) versus adjacent epileptogenic corticectomy studies have found lesionectomy enough to relieve the patient of the medically refractory epilepsy with class 1 Engels scale [4] outcome and is safer in eloquent areas of brain [3]. We present three interesting cases of vascular malformations with rare presentations and their surgical management. Vascular malformations presenting as refractory seizures is not a rare entity. Lesionectomy should be the management of choice in these patients in accessible lesions as it can lead to good outcome in terms of seizure outcome in these patients.
Authors and Affiliations
Pradeep B.
Keywords
Related Articles
- EP ID EP654093
- DOI 10.21088/ijnns.0975.0223.11219.7
- Views 65
- Downloads 0
Atypically Located Pott’s Puffy Tumor Presenting as Epidural-Cutaneous Fistula
Pott’s puffy tumor is described as an osteomyelitis of the frontal bone with associated subperiosteal abscess. It usually presents as a swelling over the forehead. Despite its decreased incidence in the postantibiotic er...
Restless Legs Syndrome as an Early Neurological Manifestation of Vitamin B12 Deficiency
Background: Current hypotheses on pathophysiology of restless legs syndrome (RLS) implicate iron as a cofactor in dopamine synthesis. Vitamin B12 also plays an important role in dopamine synthesis, but its role in the pa...
Prevalence of Neurological Disorders and Utilization of Health Services in A Subcenter Area in Udupi Taluk
Introduction: Recognizing the magnitude of neurological disorders and the disabilities associated with it in the community is the first step towards integration of neurology care with general health care. Increase in neu...
Lateral Supraorbital Subfrontal Keyhole versus Pterional Craniotomy for the Surgical Management of A-Com Aneurysm
Pterion approach is widely accepted as a standard method for clipping of A-com artery aneurysm. With progresses of microscopic instruments and surgical techniques, keyhole approach for clipping of anterior circulation an...
Evolution of Post Traumatic Acute Thin SDH into Sub acute or Chronic SDH: Analysis of Symptomatology, Risk Factor and Outcomes
Introduction: The natural course of post traumatic acute thin SDH is different among various patients. Most thin SDH resolve spontaneously, a few progress into chronic subdural hematomas requiring surgical treatment. The...