Murota T, Symon L
Gough-Cooper Department of Neurological Surgery, National Hospital, Queen Square, London, England.
Neurosurgery. 1989 Nov;25(5):699-707; discussion 708. doi: 10.1097/00006123-198911000-00003.
The cases of 18 patients operated on for hemangioblastoma of the spinal cord were reviewed. There were 11 men and 7 women. (M:F = 1.6:1) and in 15 patients, the onset of spinal symptoms was before the age of 40 years. There were 19 intradural and 2 extradural tumors. The tumor was accompanied by a cyst in 9 patients (50%). There were 6 cases of Lindau's disease, including 3 cases of multiple spinal tumors. Symptoms improved postoperatively in 13 patients. were unchanged in 2, and were aggravated in 3. At the present time, magnetic resonance imaging with gadolinium-diethylene-triamine-pentaacetic acid (Gd-DTPA) enhancement is the most useful tool for precise localization of the tumor and differentiation of any accompanying cyst.
回顾了18例接受脊髓血管母细胞瘤手术的患者病例。其中男性11例，女性7例（男:女 = 1.6:1），15例患者脊髓症状在40岁之前出现。有19例髓内肿瘤和2例髓外肿瘤。9例患者（50%）的肿瘤伴有囊肿。有6例林道病，包括3例多发性脊髓肿瘤。13例患者术后症状改善，2例无变化，3例加重。目前，钆-二乙烯三胺五乙酸（Gd-DTPA）增强磁共振成像对于肿瘤的精确定位和任何伴随囊肿的鉴别是最有用的工具。
