Novel approach to medullary oblongata cavernous hemangioma

We report the case of a 31-year-old male patient who presented with complaints of left upper and lower limb weakness with giddiness, imbalance while walking, hiccups, nasal regurgitation, and history of difficulty in swallowing. He was evaluated and diagnosed to have a space-occupying lesion in the left medulla oblongata-cavernous hemangioma. He underwent suboccipital craniotomy and excision of the lesion. Postoperatively, he regained strength and balance. He is asymptomatic during follow-up.

Key-words:

Brainstem lesions - hemiparesis - medulla oblongata - medullary cavernous hemangioma

Financial support and sponsorship

Nil.

Publication History

Received: 25 July 2020

Accepted: 26 March 2021

Article published online:
16 August 2022

• References

• 1 Bokhari MR, Al-Dhahir MA. Brain cavernous angiomas. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2020.
• 2 Fritschi JA, Reulen HJ, Spetzler RF, Zabramski JM. Cavernous malformations of the brain stem. A review of 139 cases. Acta Neurochir (Wien) 1994;130:35-46.
• 3 Abla AA, Lekovic GP, Turner JD, de Oliveira JG, Porter R, Spetzler RF. Advances in the treatment and outcome of brainstem cavernous malformation surgery: A single-center case series of 300 surgically treated patients. Neurosurgery 2011;68:403-14.
• 4 Dashti SR, Hoffer A, Hu YC, Selman WR. Molecular genetics of familial cerebral cavernous malformations. Neurosurg Focus 2006;21:e2.
• 5 Xie MG, Xiao XR, Guo FZ, Zhang JT, Wu Z, Zhang LW. Surgical management and functional outcomes of cavernous malformations involving the medulla oblongata. World Neurosurg 2018;119:e643-52.
• 6 Zhang S, Lin S, Hui X, Li H, You C. Surgical treatment of cavernous malformations involving medulla oblongata. J Clin Neurosci 2017;37:63-8.
• 7 Musumeci A, Cristofori L, Bricolo A. Persistent hiccup as presenting symptom in medulla oblongata cavernoma: A case report and review of the literature. Clin Neurol Neurosurg 2000;102:13-7.
• 8 Petr O, Lanzino G. Brainstem cavernous malformations. J Neurosurg Sci 2015;59:271-82.
• 9 Tumturk A, Li Y, Turan Y, Cikla U, Iskandar BJ, Baskaya MK. Emergency resection of brainstem cavernous malformations. J Neurosurg 2018;128:1289-96.
• 10 Chen LH, Zhang HT, Chen L, Liu LX, Xu RX. Minimally invasive resection of brainstem cavernous malformations: Surgical approaches and clinical experiences with 38 patients. Clin Neurol Neurosurg 2014;116:72-9.