Weil S M, Tew J M
University of Cincinnati, Department of Neurosurgery, Ohio.
Acta Neurochir (Wien). 1990;105(1-2):14-23. doi: 10.1007/BF01664852.
Vascular malformations of the brain stem are a histologically heterogenous collection of lesions which most often present with sudden and progressive neurologic deficit related to haemorrhage. Since 1987 the authors have treated eleven cases of brain stem vascular malformation. Seven of the patients were treated with complete surgical extirpation of the haematoma and malformation because of progressive neurologic deficit. Four additional patients made a full neurologic recovery and are being carefully observed for signs suggestive of the need for surgical treatment. Complete surgical excision of brain stem vascular malformations is mandatory for patients with progressive neurologic deficit related to recurrent haemorrhage.
脑干血管畸形是一组组织学上异质性的病变，最常表现为与出血相关的突发和进行性神经功能缺损。自1987年以来，作者共治疗了11例脑干血管畸形患者。其中7例患者因神经功能进行性缺损接受了血肿和畸形的完全手术切除。另外4例患者神经功能完全恢复，目前正在密切观察是否有提示需要手术治疗的迹象。对于与反复出血相关的进行性神经功能缺损患者，必须进行脑干血管畸形的完全手术切除。
