Department of Neurosurgery, University Hospital Zürich, Frauenklinikstrasse 10, CH-8091 Zürich, Switzerland.
Swiss Med Wkly. 2010 Nov 26;140:w13120. doi: 10.4414/smw.2010.13120. eCollection 2010.
Over the last two decades a favourable course for treated or nontreated brainstem cavernomas has become possible with enhanced diagnostic tools and clinical experience, as well as minimally invasive microsurgical improvements. Currently, brainstem cavernoma can be treated microsurgically with excellent results and an acceptable morbidity rate. The preferred surgical route has progressively shifted from a dorsal to a lateral approach, but this remains dependent on the location of the lesion in the brainstem. Surgical evaluation and management of all cases of this rare disease should be performed by experienced teams from the outset.
在过去的二十年中，随着诊断工具和临床经验的提高，以及微创手术的改进，治疗或未治疗的脑干海绵状血管瘤的良好预后成为可能。目前，脑干海绵状血管瘤可以通过微创手术进行治疗，取得了极好的效果和可接受的发病率。首选的手术入路已经从背侧入路逐渐转为外侧入路，但这仍然取决于病变在脑干中的位置。这种罕见疾病的所有病例的手术评估和管理都应从一开始就由经验丰富的团队进行。
