椎管硬脊膜外海绵状血管瘤(附14例报告)

Spinal epidural cavernous hemangioma

报告椎管硬脊膜外海绵状血管瘤14例。特点为多见于中年男性,常位于中上胸段脊髓背侧,呈慢性进行性神经功能损害,可因瘤内出血或妊娠而使病情猝变。可同时见到椎体血管瘤,皮肤血管痣和脊柱侧凸等病变。MRI 有特征性改变,并能精确地显示病变部位和范围,可在术前做出诊断。由于瘤体不与较大的血管相连,且好发于脊髓背侧,一般手术切除并不困难,若及时诊断和手术,效果满意。

A series of 14 cases of spinal epidural cavernoushemangioma is reported.Clinical features included:1)It was often found in the middle-aged male;2)Tumorwas common in the upper mid thoracic region of thespinal canal;3)Most of patients showed slowly pro-gressive neurological deficit;4)It may be sudden onsetof symptoms followed hemorrhages within the tumoror during pregnancy.Sometimes hemangioma of verte-bral body,cutaneous vascular nervus and scoliosis maycoexist with this tumor.The appearance the MRI ofcavernous hemangiomas was characteristic.It may re-vealed accurate location of the lesion and make diagno-sis preoperatively.Surgical removal were not difficultfor there were no large feeding arteries or drainingveins.If the diagnosis established early and treatedwith proper operation,may got satisfactory effect.