13/08/2025
CAVERNOUS MALFORMATION OR CAVERNOMA
GIANT INTRAVENTRICULAR CAVERNOMA
Cerebral cavernous malformations (CCMs) are groups of tightly packed, irregular small blood vessels with thin walls. They may be present in the brain or spinal cord. The vessels contain slow-moving blood that’s usually clotted. CCMs look like small mulberries. In some people, CCMs can cause blood to leak in the brain or spinal cord. CCM occurs as a single cavernous malformation and there isn’t a family history. But about 20% of CCMs affect people of the same family. These are known as familial CCMs. Familial CCMs are related to a gene change passed down through families. The most serious complications of cerebral cavernous malformations (CCMs) stem from repeated bleeding, known as hemorrhages. CCMs that bleed over and over again may cause a hemorrhagic stroke and lead to damage in the nervous system.
This patient had an unusual very large intraventricular CCM with multiple bleeding and hydrocephalus. We performed a contralateral, interhemispheric, transcallosal approach and en-bloc resection of the CCM.
1. Interhemispheric approach to the ventricle
2. After callosotomy the CCM is exposed
3. En-bloc CCM resection
4. Patient positioning
5. Patient positioning
6. Pre MRI showing GIANT CCM
7. Pre MRI showing GIANT CCM
8. Pre MRI showing GIANT CCM
9. Post MRI showing gross total resection
10. Post MRI showing gross total resection
11. Post MRI showing gross total resection
Patient recovered remarkable well and went home 3 days after surgery
