Stacey R J, Ashkan K, Edwards J M
West London Neurosciences Centre, Charing Cross Hospital, London, UK.
Br J Neurosurg. 2000 Dec;14(6):585-8. doi: 10.1080/02688690050206792.
The availability of magnetic resonance imaging has greatly increased the detection of cavernous malformations of the central nervous system in both symptomatic and asymptomatic patients. These lesions may be responsible for previously unexplained neurological events or may even have been incorrectly diagnosed. We describe a patient presenting with focal neurological signs in whom an initial diagnosis of malignant glioma had been made. Following excision, the pathological diagnosis was cavernoma. This vascular lesion has continued to show rapid growth and aggressive behaviour despite multiple surgical resections. The indications for operative and non-operative intervention will be discussed.
磁共振成像的应用大大提高了中枢神经系统海绵状畸形在有症状和无症状患者中的检出率。这些病变可能是以前无法解释的神经事件的原因，甚至可能被误诊。我们描述了一名出现局灶性神经体征的患者，最初被诊断为恶性胶质瘤。切除后，病理诊断为海绵状血管瘤。尽管进行了多次手术切除，这种血管病变仍继续显示出快速生长和侵袭性。将讨论手术和非手术干预的指征。
