Questions posted in the Neurology and Neurosurgery Forum have been answered by doctors from The Cleveland Clinic Foundation.

Question Title: Cavernous Hemangioma--Surgery is Next Week

Forum: Neurology Forum
Topic: Neurosurgery - General


Hi. Next week, I'm scheduled to have a cavernous hemangioma removed from the left frontal lobe of my brain. The lesion is about 3.8 cm. x 3 cm and extends from the cortical area down to the ventricle. I'm a healthy 29-year-old woman, with no confirmed symptoms or long-term effects from the cavernous hemangioma. Of course, as the surgery date approaches I'm getting more and more anxious about my decision to have it excised. My question is this: Am I doing the right thing? If so, what do YOU think the chance/risk is for neurological changes/damage due to the surgery? In the left frontal lobe, do a risk a "personality" or behavorial change?

I'd appreciate any feedback you could provide. Thank you for your help.
_____
_____
Dear Jana,

A cavernous hemangioma is a benign tangle of blood vessels in the brain that
may bleed, although they are not directly connected with the vasculature.
Typical symptoms are focal deficits from bleeding episodes or mass effect and
seizures. The episodes of bleeding often seen in cavernomas would be best
described as an ooze rather than a brisk bleed. They tend to be self-limited
and not life-threatening. Surgery is curative when the entire lesion is excised.

Your cavernous hemangioma is rather large in size. Though asymptomatic, there
is a good chance it would bleed over the course of your life, and you are young.
Resection of any mass in the frontal lobe carries a risk of speech deficits,
particularly when in the dominant frontal lobe for language. There is a small
risk of personality changes, though they are typically transient. The frontal
lobes are, however, quite amenable to surgery as they are more 'silent' than
other more critical areas of the brain.

Speak to your surgeon about risks and what to expect with surgery if you are
still concerned. He should be able to shed some more light on your particular
situation.

Good luck.





This Forum's Doctors
Craig Brooker
Cleveland Clinic
Lama Chahine, MD
Cleveland Clinic
Esteban Cheng-Ching, MD
Cleveland Clinic
Cleveland Clinic, MD
Cleveland Clinic
Joanna Fong, MD
Cleveland Clinic
Expert Activity
National Spinal Health Day
Oct 08 by Adam R. Tanase, D.C.
PAD Awareness Month
Oct 05 by Lee Kirksey, MD
When You Need to Know If You're Pre...
Sep 11 by Elaine Brown, MD

[Neurology Forum]    [Neurology Forum Archives]