摘要
脊髓海绵状血管瘤是一种少见的脊髓髓内血管畸形,常致严重的脊髓损害.本文总结四年来作者治疗此病12例的经验.病人多为青壮年,肢体瘫痪和二便失禁为其主要症状.病变为一团浆果样薄壁血管窦,出血后血块上皮化使病变体积增大,多发生于脊髓胸段,病程可为急性发病型、双峰型和慢性进行型.反复小量出血和脊髓微循环失调是脊髓受损的主要机理.MRI为确诊的唯一手段.手术完全切除病变是最主要的治疗方法.
Spinal cavernous angioma is a rare type of intraspinal vascular malformation, often lead to severe damage of the spinal cord. This article summerised the author's experience in treating 12 cases of such disease. The majority of patients are young adults, paralysis or paresis and sphincter dysfunction are the main clinical manifestations. The pathological picture is a berry-like thin walled vascular sinus which may give rise of repeated hemorrhage and disorder of spinal microcirculation, and the enlargement of the angioma in volume. There are three patterns of clinical process: acute onset, double peaked and chronic progressive course. MR1 is the u-nique diagnostic method. Complete removal is the choice of treatment.
