Diagnosis
Cerebral cavernoma. Condition after partial removal of the lesion.
Patient:
Child, 14 years old, Kazakhstan
Physician:
Professor Martin Scholz, Head of the Department of Neurosurgery, Sana Kliniken Duisburg
Response from Neurosurgeon Professor Martin Scholz
The provided MRI scans of the brain show a significant amount of residual cavernous structures located in the medial section of the temporal lobe, extending to the basal ganglia, predominantly on the left side. In this case, the risk of postoperative hemiparesis is approximately 5-10%, since the basal ganglia arteries, which originate from the middle cerebral artery and supply this part of the brain, likely pass directly through the cavernoma.
We plan to perform the surgery under continuous neuromonitoring to very carefully remove the remaining lesion step by step, avoiding any neurological deficits. A small portion of the cavernoma may still remain, but this can only be determined during the operation. If the lesion is not removed, spontaneous hemorrhage carries the same risks as surgery.
Parents’ Question
- What surgical method will be used?
Physician’s Answer
- The surgery, a bone-plastic craniotomy, will be performed using microsurgical techniques under neuronavigation guidance and intraoperative ultrasound monitoring.
Estimated treatment cost: 30,000 Euro