Кровоизлияние, вызванное супратенториальными каверномами: оперировать или нет?

Objective to determine the best treatment strategy in supratentorial cavernous which present with hemorrhage.Materials and methods. A total of 21 patients, treated on the base of 3 different clinics from December, 2010 till February, 2015, were enrolled into the study. In 11 (52.4 %) cases supratentorial cavernomas were superficial and in 10 (47.6 %) patients they were deep. In 17 (81.0 %) patients cavernoma was resected.Results. Surgical treatment was performed in 10 patients with superficial cavernomas and 7 patients with deep cavernomas. Long-term results of surgical treatment of supratentorial cavernomas is good 15 (88.2 %) patients without neurological deficit ( GOS V ). Minor neurological deficit ( GOS IV ) is present in 1 (5.9 %) patient. The one patient who is unable to ambulate for herself ( GOS III ) belongs to the group of deep cavernomas.Conclusions. Conservative approach is justified in patients with deep supratentorial cavernomas without neurological deficit. Surgical treatment of superficial supratentorial cavernomas is effective and safe.