Nishikawa Misao, Ohata Kenji, Ishibashi Kenichi, Takami Toshihiro, Goto Takeo, Hara Mitsuhiro
Department of Neurosurgery, Osaka City University, Graduate School of Medicine, Osaka, Japan.
Neurosurgery. 2006 Jul;59(1 Suppl 1):ONS58-63; discussion ONS58-63. doi: 10.1227/01.NEU.0000219930.65161.AD.
We report three cases with ventral cervical intramedullary cavernous angiomas. An anterolateral partial vertebrectomy was performed to surgically approach and successfully resect these lesions.
All three patients presented with numbness in the upper extremities and investigation revealed a cavernous angioma on the ventral aspect of the spinal cord in each case. The lesion was exposed by an anterolateral partial vertebrectomy in all cases. Postoperative stabilization was achieved by using autografted iliac bone in all patients. In two patients, locking screws and plates were also used.
Complete resection of the cavernous angioma was performed in all patients. There was symptomatic relief in all cases, and there was no postoperative morbidity.
Anterolateral partial vertebrectomy provides direct exposure and is probably an ideal approach for selected cases with ventrally located intramedullary cavernous angiomas.
我们报告3例颈髓腹侧海绵状血管瘤病例。采用前外侧部分椎体切除术对这些病变进行手术入路并成功切除。
所有3例患者均表现为上肢麻木，检查发现每例患者脊髓腹侧均有海绵状血管瘤。所有病例均通过前外侧部分椎体切除术暴露病变。所有患者均采用自体髂骨植骨实现术后稳定。2例患者还使用了锁定螺钉和钢板。
所有患者均实现了海绵状血管瘤的完全切除。所有病例症状均缓解，且无术后并发症。
前外侧部分椎体切除术可提供直接暴露，可能是治疗选定的脊髓腹侧海绵状血管瘤病例的理想方法。
