Hemorrhage of the hypothalamic cavernous malformation. Clinical case of surgical treatment

To study the clinical and neurologic symptoms and to determine the indications for surgical treatment of hypothalamic cavernous malformations. We reviewed scientific literature devoted to hypothalamic cavernomas and compared the clinical symptomatology with our clinical case. The article describes the clinical manifestations of the presented case. A comparative analysis of previously described cases was carried out, and the retionale was presented on the possibility of clinical manifestations depending on the direction of extra-focal hemorrhage. Diagnostic and differential diagnostic aspects of cavernomas of this localization are also described. A case of successful surgical treatment of cavernous malformation of the hypothalamus is presented, and it is also shared with the motives of supporters of conservative treatment by other authors. This case and literature review illustrate the variability of neurological symptoms of hypothalamic cavernous malformation haemorrhage and describe indications for surgical treatment.

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