Poungvarin N, Bhoopat W
Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 1991 Aug;74(8):363-8.
The authors reported two cases of vertebral haemangiomas with spinal cord compression. The first case deteriorated during her pregnancy. Plain radiography of the thoracic spine gave the hint for the diagnosis and computed axial tomography showed the lesion. She was treated via surgical removal with minimal improvement of her paraparesis. The second case was diagnosed after operation because there was no abnormality over the relevant vertebra and the myelogram demonstrated an extradural mass lesion compressing the lower thoracic spinal cord. The patient improved satisfactorily after total removal of the tumour. Both surgical specimens were classical pictures of haemangiomas histologically.
作者报告了两例伴有脊髓压迫的椎体血管瘤病例。第一例在孕期病情恶化。胸椎X线平片为诊断提供了线索,计算机断层扫描显示了病变。她接受了手术切除治疗,双下肢轻瘫仅有轻微改善。第二例在手术后确诊,因为相关椎体未见异常,脊髓造影显示硬膜外肿块压迫下胸段脊髓。肿瘤完全切除后患者恢复良好。两个手术标本在组织学上均为典型的血管瘤表现。