Huang J M
First Affiliated Hospital, West China University of Medical Sciences, Sichuan.
Zhonghua Wai Ke Za Zhi. 1991 Sep;29(9):569-70, 590.
The diagnosis of hemangioblastoma in the posterior cranial fossa was confirmed in 56 patients operatively and pathologically. The tumors were cystic in 44 patients and solid in 12; 87.5% of the tumors occurred in the cerebellar hemisphere and 7.1% in the vermis. The main symptoms and signs were increased ICP and cerebellar incoordination. 64 surgical operations had been performed in the 56 patients. Seven patients died and 8 (14%) had recurrence postoperatively. The effect of surgical intervention in 40 patients with cystic hemangioblastoma was satisfactory. Among 5 patients with solid tumor, 2 recovered completely and 3 still had partial neurological disability.
56例患者经手术及病理检查确诊为后颅窝血管母细胞瘤。44例肿瘤为囊性,12例为实性;87.5%的肿瘤发生于小脑半球,7.1%发生于小脑蚓部。主要症状和体征为颅内压升高和小脑共济失调。56例患者共进行了64次手术。7例患者死亡,8例(14%)术后复发。40例囊性血管母细胞瘤患者的手术干预效果满意。5例实性肿瘤患者中,2例完全康复,3例仍有部分神经功能障碍。