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Case Reports
. 2018 Oct;45(VideoSuppl2):V4.
doi: 10.3171/2018.10.FocusVid.18240.

Awake craniotomy for a cavernous angioma in the Broca's area

Lucas Alverne F Albuquerque  1 , Fátima C Pessoa  1 , Gabryella S Diógenes  1 , Felipe S Borges  2 , Stélio C Araújo Filho  1
Affiliations
Case Reports

Awake craniotomy for a cavernous angioma in the Broca's area

Lucas Alverne F Albuquerque et al. Neurosurg Focus. 2018 Oct.

Abstract

Cavernous angiomas constitute 5%-10% of cerebrovascular malformations and may cause seizure and neurological deficits from bleeding. 4 The authors present a case of a 44-year-old man with a 3.5-year history of epilepsy without complete seizure control despite anticonvulsants. Brain MRI showed a 2.8 cm cavernous angioma at the left pars opercularis, also known as the Broca's area. 3 The patient underwent an awake craniotomy for intraoperative cortical-subcortical language and sensory-motor mapping for a complete resection of the cavernous angioma and the hemosiderin rim. 1-6 The procedure was uneventful, and the patient evolved seizure free and with no deficits. The video can be found here: https://youtu.be/QajbLIsr_vg .

Keywords: Broca’s area; awake craniotomy; brain mapping; cavernous angioma; eloquent area.

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