Grabb Paul A
Department of Neurosurgery, Children's Mercy Hospital, Kansas City, Missouri; and University of Kansas School of Medicine, Kansas City, Kansas.
J Neurosurg Pediatr. 2016 Mar;17(3):310-7. doi: 10.3171/2015.7.PEDS14627. Epub 2015 Nov 13.
Two cases of intracranial capillary hemangiomas (ICHs) occurring in children are presented to highlight the surgical challenges encountered with these extremely rare lesions. The author describes their clinical presentation, preoperative imaging features, intraoperative findings, and operative management. The pertinent literature is reviewed. Recommendations for preoperative planning and intraoperative management are made based on the author's experience and the literature for when ICH is considered in the differential diagnosis and encountered intraoperatively.
本文报告两例儿童颅内毛细血管瘤(ICH),以突出处理这些极为罕见病变时所面临的手术挑战。作者描述了其临床表现、术前影像学特征、术中发现及手术处理。对相关文献进行了综述。根据作者的经验及文献,针对ICH在鉴别诊断中被考虑以及术中遇到时的术前规划和术中处理给出了建议。