Cavernous hematoma surgery

Cavernous hematoma is a condition of cerebral vascular malformation. The treatment of cavernous blood tumours is primarily surgical aimed at removing the entire tumor, preserving important brain functions and reducing the risk of complications.

1. A summary of cavernous blood tumours

1.1 What is cavernous blood tumours?

Cavernous or capillary hematoma is a form of cerebral vascular malformation. This is a vascular organization or abnormal lesions formed by many small cavities resembling strawberries or hives. These small cavities contain blood (called a pool of blood). The pools of blood are separated from each other by thin membranes.

In terms of distribution, most cavernous blood tumors usually occur in two hemispheres of the brain, sometimes in the brain stem or back pit, rarely in the spinal cord area. The percentage of the population with cavernous blood tumours is about 0.1 – 0.5%, less common than arterial malformation – cerebral veins or cerebral aneurysms.

Most cases of cavernous hematoma usually occur naturally or heredously. In cases of cavernous hematoma due to genetic factors are often associated with abnormalities of chroma 7.

1.2 Symptoms of cavernous hematoma

Depending on the location and size of the blood tumor, clinical manifestations in the patient will vary. Common symptoms are:

  • Appearance of seizures or seizures;
  • Appearance of several neurological disorders: Disorders of balance, vision, memory, attention;
  • Weakness of hands or feet;
  • Increased intuition pressure: Headache, dizziness, nausea and vomiting, drowsiness, visual disturbances.

Sometimes, patients with cavernous hematoma do not have any symptoms. Patients with cavernous hematoma may be at risk of bleeding. Common complications of the disease are convulsions, impaired neurological function.

1.3 Diagnosis of cavernous hematoma

The most accurate method of detecting cavernous blood tumours is a cranial mri, which can be injected or not injected with a fluorescent drug. Resymnant imaging may have to be performed repeatedly to analyze changes in tumor size, haemorrhagic status, or the appearance of new lesions.

Cerebral anethortic surgery will not detect this pathology because the blood flow through the lesions is very slow.

1.4 Treatment of cavernous hematoma

For asymptomatous cavernous blood tumour lesions, which are only accidentally detected, it is recommended to monitor by an MRI scan every year for the first 2 years, then take it every 5 years. If there is clinical evidence of hemorrhage or new symptoms, an MRI with a thicker frequency is required. Some patients may also use anti-kinh drugs prescribed by a doctor.

For symptomatic lesions, there are two main methods commonly used to treat cavernous blood tumours: surgery and radiotherapy with a classic gamma knife or a spinning gamma knife.

Surgery is considered to control the condition of the movement if it is not possible to control the movement with drugs, cavernous blood tumors in an easy-to-operate position and cavernous cerebral malformation are identified as the cause of the stroke. Where an seizure can be controlled with medication, surgery is not required. Surgery for cerebral vascular malformation may be in place in patients with hemorrhagic cavernous blood tumors, neurological symptoms, and blood tumors in an easily interventional position. This method is more at risk, so it needs to be carefully considered.

Recently, radiotherapy with a spinning gamma knife is more popular because it has the advantage of high accuracy, automation, so it has a high therapeutic effect, safe, less invasive, less accidental during and after treatment.

2. Surgical methods of cavernous hematoma

Surgery

Surgery to remove the entire tumor for patients with cavernous blood tumours

The purpose of cavernous blood tumour surgery is to remove the entire tumor, preserve important functions and minimize the incidence of complications.

2.1 Contrain specify/contrain specify

Specify:

  • Blood tumors with clinical symptoms;
  • There is an exacerbated bleeding out of the shell of the tumor;
  • Tumors that cause tumor effects associated with bleeding in tumors

Contrainatrained

  • Asymptomatatic blood tumours;
  • Tumours are located in important functional positions that cannot be surgically intervened;
  • Anesthesia is not guaranteed during surgery.

Note: cavernous blood tumours do not have absolute contraincular.

2.2 Preparation

  • Personnel: Neurosurgery specialists, anesthesihetist, technicians,…;
  • Patient: Shaved hair in the surgical area; cathethees, stomach; physical examination (cranial resonance imaging) and a thorough explanation of the purpose, course of implementation, risk of complications during and after surgery;
  • Media: Neuronavigation nerve positioning system, microsurgery system, pins, cranial bone screws, blood drilling and cranial cutting drill system, hem bleeding material during surgery, pressure-sucking closed conductive conduction, cranial surgical kits, neurosurgery instruments, hem bleeding tools ,…

2.3 Implementation process

sedative anesthesia

Anesthesia for patients before surgery
  • Patient position: Let the patient lie down so that the operating area is revealed in the most favorable and accessible position. Next fix the patient's head on the frame and install the navigation navigation system;
  • Insymity: In-administration anesthesia, use anesthesia, infusions, blood if necessary as prescribed by an anesthesi;
  • Open the skull cover: Cut the skin according to the instructions of the navigation system, according to the location of the tumor, drill the bones, open the skull cap, stitch the suspension and open the sural membrane;
  • Obtaining tumors: Use a positioning system to accurately locate cavernous blood tumors, cut tumors, and associated lesions under microsurgenical glasses;
  • Sural closure;
  • Bone reset: Fix the bone with a skull pin;
  • Close the skin and weigh the muscles of the nose separately.

2.4 Post-surgical monitoring and treatment

  • Closely monitor the patient's survival indicators such as pulse, respiratory, temperature, blood pressure;
  • For patients to use post-surgical antibiotics;
  • Avoid the risk of respiratory failure causing brain edema late after surgery;
  • Anti-cones of the drug can be used depending on the specific case.

2.5 Risk of accidents

  • Post-surgical brain bleeding;
  • Fistula of the cerebral palsy;
  • Infection: Meningitis or brain aneths.

Depending on the accident, the doctor will take appropriate interventions for the patient.

When prescribed cavernous hematoma surgery, patients follow the doctor's instructions to treat the disease effectively, reducing the risk of complications such as impaired neurological function or re-bleeding,…

To register for examination and treatment at Share99 International Health Hub, you can contact Share99 Health System nationwide, or register for an online examination HERE

SEE MORE:

  • Treatment of vascular tumors in children
  • Birthmarks on the body when to pay attention?
  • The meaning of vascular ultrasound

About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.

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