55例脑海绵状血管瘤壮族患者临床分析

Clinical analysis of 55 Zhuang nationality patients with cerebral cavernous malformation

目的探讨脑海绵状血管瘤(cerebral cavernoma malformation,CCM)壮族患者的临床特点及其治疗预后。方法回顾性分析55例CCM壮族患者的临床资料、影像学表现、治疗方案及预后。结果55例CCM壮族患者平均发病年龄47.59岁,中位病程12.5 d。病灶主要位于幕上,临床表现以头痛、头晕、四肢无力、癫痫为主。3例手术治疗,1例伽马刀治疗,51例保守对症治疗,经治疗后均无死亡病例,症状均得到缓解或消失。结论CCM壮族患者临床特点与其他种族CCM患者类似,保守治疗能获得良好预后。

Objective To investigate the clinical features and prognosis of Zhuang nationality patients with cerebral cavernous malformation(CCM).Methods The clinical data,imaging manifestations,treatment plans and prognosis of 55 Zhuang nationality patients with CCM were retrospectively analyzed.Results The average onset age of the 55 Zhuang nationality patients with CCM was 47.59 years old and the median course of disease was 12.5 days.The lesions were mainly located in the supratentorial area,and the main clinical manifestations were headache,dizziness,weakness of limbs and epilepsy.Three patients received surgical treatment,one received gamma knife treatment,and 51 received conventional symptomatic treatment.After treatment,there were no death cases,and the symptoms of patients were relieved or disappeared.Conclusion The clinical characteristics of Zhuang nationality patients with CCM are similar to those of other ethnic groups,and conventional treatment can achieve a good prognosis.