颅内海绵状血管瘤的诊断和治疗

Diagnosis and Treatment of Intracranial Cavernous Angioma

目的 探讨颅内海绵状血管瘤(CA)的诊断和手术治疗方法。方法 回顾分析我院过去12年经手术证实的82例颅内CA病人的临床资料。结果 主要临床表现为:病灶外出血、癫痫、头痛和局限性神经功能缺损。76例经显微外科手术获全切,74例临床症状改善或消失。结论 显微外科治疗颅内CA效果良好,MR是诊断颅内CA的最敏感方法。

Objective To evaluate the diagnosis and treatment of the patients with intracranial cavernous angiomas. Methods Retrospective analysis of the clinical data from 82 cases of the intracranial cavernous angiomas confirmed by surgery in the last 12 years was carried out. Results The main clinical manifestations included extralesional hemorrhge, seizure, headache and focal neurological deficit. The angiomas were totally removed in 76 of all the 82 patients. Seventy four of them were clinically improved or became asymptomatic. Conclusions The results of surgical treatment of these patients were good. MRI examination was the most sensitive method for diagnosis of the intracrrenial cavernous angioma.