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In the literature, cavernomas were relatively less common in the frontal loves. There were multiple cavernomas in 23% of cases. The main clinical manifestations were seizures (79%) and haemorrhage (16%). The annual haemorrhage rate was 0.7 %. the outcome after excision was good with improvement in seizures in 92% of patients. In the case series the surgical outcome was less favourable, reflecting inclusion of a higher proportion of patients with intractable epilepsy. In both the literatu re review and the case series, outcome was poorer in cases with a longer duration of seizures at the time of surgery. The good surgical results, particularly in cases treated earlier, and the significant cumulative haemorrhage rate, suggest that excision is the optimum treatment. However, these factors have not been examined prospectively and, despite the availability of several retrospective studies, the optimum treatment, particularly for non-intractable cases, will only be determined by a prospective study. |
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cavernous hemangioma
malformation,vascular
malformation,vascular,treatment of
MRI
MRI,abnormal
seizure
seizure,intractable
seizure,intractable,treatment of
seizure,surgical treatment of
seizure,treatment of
treatment of neurologic disorder
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