By Ashkenazi A.
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Many of our tinnitus patients had a long history of doctor-hopping and were at least once in their life considered to be mentally ill. This is in contrast to most other cases, who are asymptomatic or have very little symptoms. Further observations will be necessary to establish whether there is in fact a severely symptomatic, aggressive subform of capillary telangiectasia. Up to now, there has been no pertinent hypothesis for a possible pathomechanism for the ensuing symptoms. 3 Diagnostic Imaging The number of observations of presumed brain-stem capillary telangiectasias is limited.
In a recently published review (Moran et al. 1999), the results after surgical removal of cavernomas causing seizures were analyzed. After removal of the cavernoma, 84% of the patients were seizure-free and 8% were improved. A total of 6% of the patients did not have any change of their status, and in only 2% of patients was there deterioration. In cases of medically intractable seizures in which surgery is technically feasible and the seizures can be localized to the region of the cavernoma, surgery is a reasonable option.
1995). Identiﬁ- cation of factors increasing the risk of bleeding of a brain AVM is very important with regard to the treatment strategy. However, two difﬁculties are encountered in an analysis of the literature: – There is a lack of consistency in the terminology used to describe clinical and radiographic features of brain AVMs. Recently, the Joint Writing Group of the Technology Assessment Committee, American Society of Interventional and Therapeutic Neuroradiology, Joint Section on Cerebrovascular Neurosurgery, Section of Stroke and Section of Interventional Neurology of the American Academy of Neurology (Ogilvy et al.