Partington M D, Davis D H, Kelly P J
Department of Neurological Surgery, Mayo Clinic, Rochester, Minn.
Pediatr Neurosci. 1989;15(5):217-22. doi: 10.1159/000120472.
The technique of computer-assisted stereotactic resection of intra-axial neoplasms can also be used in the treatment of vascular malformations. We report a series of 12 pediatric patients with supratentorial lesions who underwent stereotactic resections between 1985 and 1988. There were 5 boys and 7 girls, with mean age 8 years (range 3-16). Epilepsy was the presenting symptoms in 8 children, hemorrhage in 3, and in 1 the lesion was incidentally diagnosed. Seven lesions were angiographically occult. All lesions were resected without mortality or morbidity. Seizures resolved in 7 of 8 cases, with the remaining patient experiencing a reduction in seizure frequency. Illustrative cases are presented.
计算机辅助立体定向切除脑内肿瘤的技术也可用于治疗血管畸形。我们报告了1985年至1988年间接受立体定向切除的一系列12例幕上病变的儿科患者。其中男孩5例，女孩7例，平均年龄8岁（范围3 - 16岁）。8名儿童以癫痫为首发症状，3名有出血症状，1名病变为偶然诊断。7个病变血管造影隐匿。所有病变均成功切除，无死亡或并发症。8例中的7例癫痫发作得到缓解，其余患者癫痫发作频率降低。现展示典型病例。
