摘要
75%的海绵状血管畸形(cavernous malformations)位于幕上.随着MRI的发展,使一些无症状的或以癫痫、出血、神经性功能缺损以及头痛的病人得以确诊为海绵状血管畸形.本文报告北京天坛医院神经外科1983年1月至1996年1月收治的幕上脑内海绵状血管畸形28例.本组28例全部经显微手术治疗,无手术死亡,3例术后失语,6例轻偏瘫,均于两周后恢复.本文讨论了本病的临床表现、影像学特点以及手术适应证.
More than 75% of all cavernous malformations (CMs) are located supratentorially. Since the advent of MRI,the lesion has been recognized increasingly as an incidental or asymptomatic entity and also associated with a variety of neurologic symptoms including seizures,focal neurologic deficits, focal hemorrhage and headache.There were 28 cases of CMs treated in the Department of Neurosurgery of Beijing Tiantan Hospital from January 1983 through January 1996. All of the 28 cases were managed by mi-crosurgical operation. The operative mortality was 0%. The postoperative complication included temporary aphasia in 3 patients and hemiple-gia in 6 patients. All of them soon recovered within two weeks postoperatively. The clinical spectrum.imaging and operative management of CMs are discussed in this paper.
