Annals of Indian Academy of Neurology
  Users Online: 1465 Home | About the Journal | InstructionsCurrent Issue | Back IssuesLogin      Print this page Email this page  Small font size Default font size Increase font size
Year : 1999  |  Volume : 2  |  Issue : 2  |  Page : 71-77

Treatment Outcome Of Seizures Associated With Intracranial Cavernous Angiomas



Correspondence Address:
Conrad C Nievera


Login to access the Email id

Source of Support: None, Conflict of Interest: None


Rights and PermissionsRights and Permissions

Seizures are among the typical presentations of intracranial cavernous angiomas (ICA). Twenty-one patients (age range: 2 to 53 years) treated for seizures associated with ICA between 1983 and 1997 were restrospectively studied to evaluate their outcome following medical or surgical intervention. The mean interval between seizure onset and initial presentation at our institution was 7.6 years. Seizures were simple partial in 3 patients, complex partial in 15 and secondarily generalized tonic-clonic in 13. The commonest site of the lesion was the temporal lobe (52%). Multiple angiomas were observed in 5 (24%) patients. Seven (32%) patients were medically-managed with antiepileptic therapy and 14 (68%) underwent either lesionectomy with resection of the epileptogenic zone (9 patients) or temporal lobectomy (5 patients). Mean follow-up time was 4 years (range: 3 months to 14 years). Of the medically-managed patients, 3 (43%) remained seizure-free whereas 4 (57%) continued to have seizures with an average frequency of one per day. Of the surgically-managed patients, 12 (86%) became seizure-free and 2 (14%) had no more than two seizures per year. Surgery appears to be extremely effective in the management of seizures associated with ICA and should receive a strong and early consideration in patients who fail medical therapy.


[PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed953    
    Printed56    
    Emailed0    
    PDF Downloaded41    
    Comments [Add]    

Recommend this journal