British Journal of Sports Medicine 2009;43:866-868
OCCASIONAL PIECES
Clinics in neurology and neurosurgery of sport. Mass lesions: cavernoma
1 Cabrini Medical Centre, Malvern, Victoria, Australia
2 University of Melbourne Department of Neurosurgery, Austin Hospital, Heidelberg, Australia
3 Department of Neurosurgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA
4 Centre for Health, Exercise and Sports Medicine, University of Melbourne, Victoria, Australia
Correspondence to Associate Professor P McCrory, Centre for Health, Exercise and Sports Medicine, University of Melbourne, Victoria, Australia 3010; p.mccrory@unimelb.edu.au
Accepted 17 March 2008
| The first 150 words of the full text of this article appear below. |
The advent of widespread access to MR scanning has meant that a wide spectrum of incidental findings are now detected and referred for advice and management. Although cavernous haemangiomas (or cavernomas) are one of the most common types of benign vascular malformations, their precise incidence is unknown. They can occur as single or multiple lesions and provide a real dilemma for an athlete who wishes to participate in contact sports. Before the advent of modern neuroimaging techniques, such lesions would typically present as haemorrhage or seizures rather than as incidental findings on brain scans. In this patient, their risks and suggested management is discussed.
Case study: cavernoma
A footballer is involved in a motor vehicle accident. The patient incurs a head injury and loses consciousness for 30 seconds. The patient attends the emergency department, where is found to be asymptomatic, with normal systemic and neurological examination findings. A CT scan of the brain
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