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Rehabilitation Practice and Science

Translated Title

大且深的左腦海綿狀血管畸形的處置：病例報告

Abstract

Cerebral cavernous malformations (CCMs) are congenital vascular anomalies that are not visualized on angiography. However, computed tomography (CT) and magnetic resonance imaging (MRI) scans have highly increased the detection rate and the understanding of these lesions. CCMs have characteristic MRI findings, which facilitate differential diagnosis radiologically. CCMs are classified into 4 categories, according to their MRI and pathological characteristics. In addition, the nature history and the bleeding risk of each category of CCMs are different and critical in decision making regarding treatment. We report the case of a 73 years old female patient who presented with a history of mild dysarthria and abnormal gait for 6 months. A brain MRI image showed a cavernous malformation, 4.5x4.5x3 cm in size, deeply seated in left frontotemporal lobes. Based on the MRI characteristics, documented natural history and bleeding risk, and indications and contraindications of operations recommended in the literatures, we adopt a conservative treatment of observation and regular follow-up, checking brain MRI images annually.

Language

Traditional Chinese

First Page

61

Last Page

69

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