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脊髓髓内硬膜内海绵状畸形。病例报告及文献综述。

Spinal intradural-intramedullary cavernous malformation. Case report and literature review.

作者信息

Bakir Abdurrahman, Savas Ali, Yilmaz Erdal, Savaş Berna, Erden Esra, Cağlar Sükrü, Sener Ozden

机构信息

Department of Neurosurgery, Mevki Military Hospital, Ankara, Turkey.

出版信息

Pediatr Neurosurg. 2006;42(1):35-7. doi: 10.1159/000089507.

Abstract

Cavernous angiomas or cavernomas are uncommon vascular malformations of the central nervous system and spinal involvement is much rarer especially in pediatric patients. We report a case of spinal intradural-intramedullary cavernous angioma in a 14-year-old male child. The cavernoma was located at the level of C6-C7 at the dorsal part of the spinal cord. The diagnosis was made with MRI and the patient underwent surgical treatment. The cavernoma was totally removed with laminotomy and microsurgical techniques. Somatosensory evoked potential monitoring was also used peroperatively. The clinical, radiological and surgical features of this rare case were presented and discussed with reference to the literature.

摘要

海绵状血管瘤或海绵瘤是中枢神经系统罕见的血管畸形,脊髓受累更为罕见,尤其是在儿科患者中。我们报告一例14岁男性儿童的脊髓硬膜内-髓内海绵状血管瘤。海绵瘤位于脊髓背侧C6-C7水平。通过磁共振成像(MRI)做出诊断,患者接受了手术治疗。采用椎板切开术和显微外科技术将海绵瘤完全切除。术中还使用了体感诱发电位监测。结合文献介绍并讨论了这一罕见病例的临床、影像学和手术特征。

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