Understanding Cavernomas

A Patient's Guide to Brain and Spinal Cord Vascular Malformations

Neurosurgery

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Last updated: Mar 24, 2025

What is a Cavernoma?

A cavernoma is a cluster of abnormal blood vessels that form a cavity filled with blood. These malformations typically occur in the brain or spinal cord and are also known as cerebral cavernous malformations (CCMs) or cavernous angiomas.

Key Characteristics

  • Size ranges from a few millimeters to several centimeters
  • Appearance similar to a raspberry
  • May be single or multiple
  • Can occur at any age
  • May be inherited or sporadic

Common Symptoms

  • Seizures - Most common symptom
  • Headaches
  • Neurological deficits:
    • Weakness
    • Vision problems
    • Balance issues
    • Speech difficulties
  • Bleeding (hemorrhage)

Diagnosis

Primary Diagnostic Tools

  1. MRI (Magnetic Resonance Imaging)
  2. CT scan
  3. Genetic testing (for familial cases)

Treatment Options

Conservative Management

  • Regular monitoring
  • Anti-epileptic medications for seizures
  • Regular MRI scans

Surgical Intervention

Considered when:

  • Significant bleeding occurs
  • Seizures are uncontrolled
  • Location is accessible
  • Progressive neurological symptoms develop

Living with Cavernoma

Lifestyle Considerations

  • Avoid contact sports
  • Regular medical follow-up
  • Genetic counseling if familial
  • Pregnancy planning if applicable

When to Seek Emergency Care

  • Sudden severe headache
  • New or worsening neurological symptoms
  • First-time seizure
  • Visual disturbances

Prognosis

Prognosis varies depending on:

  • Location of the cavernoma
  • Size and number of lesions
  • Previous bleeding history
  • Treatment response

Support and Resources

  • Neurological support groups
  • Genetic counseling services
  • Patient advocacy organizations
  • Regular medical monitoring

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