Surgical management of spinal cord cavernoma.
Surgical management of spinal cord cavernoma.
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脊髓海绵状血管瘤的手术治疗。
DOI：
10.1080/02688699550041098
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发表时间：
1995
影响因子：
1.1
通讯作者：
L. Symon
中科院分区：
文献类型：
--
作者：
C. Gordon;H. Crockard;L. Symon
本文报告三例经手术证实的脊髓内海绵状血管瘤。脊髓髓内海绵状血管瘤是相当少见的，占所有脊髓血管病变的3%至12%。虽然人们认识到它们倾向于产生出血和发作性症状恶化，但对其自然史知之甚少。我们的系列包括一名男性和两名女性，年龄在31至67岁之间。最常见的症状是疼痛，在所有病例中，疼痛都先于虚弱。在我们的两个病例中，注意到症状突然阵发性恶化伴疼痛的典型进展。认为这与病变出血有关。在这个系列中，患者在症状出现后平均8年后才接受手术。标准的显微外科技术有助于切除病变，随后所有患者恢复术前功能。
Three cases of surgically verified intramedullary cavernous angioma (cavernoma) of the spinal cord are reported. Intramedullary cavernomas of the cord are quite uncommon and account for between 3 and 12% of all vascular lesions of the spinal cord. Little is known of their natural history, although their tendency to produce haemorrhage and episodic symptomatic worsening is recognized. Our series includes one male and two females whose ages ranged between 31 and 67 years. The most common presenting symptom was pain, which in all cases preceded weakness. In two of our cases, the typical progression of sudden paroxysmal worsening of symptoms accompanied by pain was noted. This was thought to be related to bleeding in the lesion. In this series, an average of 8 years had elapsed after the onset of symptoms before the patients came to surgery. Standard microsurgical technique facilitated removal of the lesions, following which all patients regained preoperative function.