Journal article
Unilateral Symptomatic Hypertrophic Olivary Degeneration Secondary to Midline Brainstem Cavernous Angioma: A Case Report and Review of the Literature
World neurosurgery, v 110
Feb 2018
PMID: 29061458
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Hypertrophic olivary degeneration (HOD) is a rare phenomenon in the dento-rubro-olivary pathway caused by lesion or disruption of the fibers of the Guillain-Mollaret triangle. Hemorrhage of pontine and midbrain cavernous angiomas can rarely lead to HOD portending neurologic deterioration and possible concomitant life-threatening complications; for this reason, it may define a poignant consideration in planning intervention.
The patient was a 57-year-old woman with known midbrain-pontine cavernous angioma. For several years, the lesion had been stable, as shown by imaging follow-up, until 10 months before the patient presented with falls, dysarthria, and headache. Imaging showed some decrease in size as well as blood product around the cavernous angioma, suggesting interim period hemorrhage and interval development of HOD.
The literature regarding imaging recommendations for stable cavernous angioma in the midbrain-pontine junction is reviewed. The implication of HOD for patient outcome is discussed and a comment is made on how the development of HOD may affect management of the cavernous angioma.
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Details
- Title
- Unilateral Symptomatic Hypertrophic Olivary Degeneration Secondary to Midline Brainstem Cavernous Angioma: A Case Report and Review of the Literature
- Creators
- Jared S. Rosenblum - Drexel UniversityMatt Nazari - Georgetown UniversityYasir Al-Khalili - Drexel UniversityValeria Potigailo - Hahnemann University HospitalErol Veznedaroglu - Drexel University
- Publication Details
- World neurosurgery, v 110
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Radiology (Radiologic Sciences); Neurosurgery
- Web of Science ID
- WOS:000425856900189
- Scopus ID
- 2-s2.0-85038019064
- Other Identifier
- 991019167420104721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Clinical Neurology
- Surgery