Marco M Fontanella, Susanna Bacigaluppi, Francesco Doglietto, Luca Zanin, Edoardo Agosti, Pierpaolo Panciani, Francesco Belotti, Giorgio Saraceno, Giannantonio Spena, Riccardo Draghi, Alessandro Fiorindi, Claudio Cornali, Antonio Biroli, Juri Kivelev, Massimo Chiesa, Saverio F Retta, Roberto Gasparotti, Yoko Kato, Juha Hernesniemi, Daniele Rigamonti
Surgical indications for cerebral cavernous malformations remain significantly center- and surgeon-dependent. Available grading systems are potentially limited, as they do not include epileptological and radiological data. A novel grading system is proposed for supratentorial and cerebellar cavernomas: it considers neuroradiological features (bleeding, increase in size), neurological status (focal deficits and seizures), location of the lesion and age of the patient. The score ranges from -1 to 10; furthermore, surgery should be considered when a score of 4 or higher is present...
June 2021: Journal of Neurosurgical Sciences