摘要
目的分析和评价改良枕部经小脑幕入路切除松果体周围区域海绵状血管瘤的有效性和预后情况．方法回顾性分析我们收治的6例位于松果体周围区域的海绵状血管瘤患者的临床表现、影像资料和采用改良枕部经小脑幕入路手术治疗情况，其中病灶位于丘脑后部2例，中脑3例．第三脑室内1例。结果病灶均全切除，术后无死亡，其中5例神经功能改善，1例加重。平均随访11个月．病变无复发。结论存准确判读MRI所显示病变的前提下，采用改良枕部经小脑幕入路切除松果体周围区域海绵状血管瘤是安全和有效的。
Objective To evaluate the outcomes of the operative treatment of cavernous hemangioma in the peripheral zone of the pineal body by modified occipital transtentorial approach. Methods Six cases of cavernous hemangioma in the peripheral zone of the pineal body, 2 in posterior thalamus, 3 in mesencephalon and 1 in the third ventricle, were analyzed retrospectively regarding their clinical manifestations, imaging data and prognosis after the surgeries via modified occipital transtentorial approach. Results Total removal of the lesion was achieved in all the patients without death. Neural system function was improved in 5 cases and aggravated in 1. There was no recurrence during the follow-up of average 11 months. Conclusion Based on the precise analysis of the lesion showed on the MRI, the microsurgical removal of cavernous hemangioma in the peripheral zone of the pineal body by modified occipital transtentorial approach is safe and effective.
出处
《中华神经医学杂志》
CAS
CSCD
2008年第8期799-801,共3页
Chinese Journal of Neuromedicine
关键词
松果体
海绵状血管瘤
改良枕部经小脑幕入路
Pineal body
Cavernous hemangioma
Modified occipital transtentorial approach
