Meltem ÖZDEMİR, Alper DİLLİ, Rasime Pelin KAVAK, Tuba AKDAĞ, Esra SOYER GÜLDOĞAN

İntraventriküler Kavernom

Serebral kavernomlar, pek çoğu beyin parankiminde yer alan ve sıklıkla asemptomatik kalan basit vasküler malformasyonlardır. Sıklıkları %0,5 olup genel populasyonda en sık rastlanan serebral vasküler malformasyondurlar. Bununla birlikte, intraventriküler kavernomlar, bugüne dek sadece 138 olgu bildirimi ile istisnai derecede nadir lezyonlardır. Asemptomatik olabilecekleri gibi, boyut ve lokalizasyonlarına bağlı olarak ciddi klinik tablolara da yol açabilirler. Tanıda, kesitsel inceleme metotları esastır. Ve semptomatik olgularda tedavi yöntemi, cerrahi olarak çıkarılmalarıdır. Burada, 67 yaşındaki bir bayanda, semptomları hafif ve belirsiz olan ve bu nedenle girişim yapmak yerine yakın klinik ve radyolojik takibi tercih ettiğimiz, üçüncü ventrikül yerleşimli bir intraventriküler kavernom olgusunu sunuyoruz.

Intraventricular Cavernoma

Cerebral cavernomas are simple vascular malformations that are mostly located in the brain parenchyma and usually remain asymptomatic. Withthe incidence of 0.5%, they are the most commonly identified cerebral vascular malformations in general population. However, with only 138reported cases to date, intraventricular cavernomas are exceptionally rare. They may either remain asymptomatic or cause serious clinical conditionsdepending on their size and location. Sectional imaging methods are essential in their diagnosis. And in symptomatic cases, complete surgicalremoval is the treatment of choice. Here, we present a 67-year-old lady with an intraventricular cavernoma in the third ventricle of whom thesymptoms were mild and ambiguous and therefore we preferred close clinical and radiological follow-up instead of intervening.

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