Yasuda Tatsuya, Hasegawa Tomohiko, Yamato Yu, Kobayashi Sho, Togawa Daisuke, Banno Tomohiro, Arima Hideyuki, Oe Shin, Matsuyama Yukihiro
Department of Orthopaedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Asian Spine J. 2016 Apr;10(2):309-13. doi: 10.4184/asj.2016.10.2.309. Epub 2016 Apr 15.
Retrospective case series.
To investigate the relationship between tumor location and clinical characteristics.
Hemangioblastoma is a rare disease that develops in the central nervous system. Magnetic resonance imaging (MRI) is useful to evaluate hemangioblastomas. Hemangioblastoma's location is designated as intramedullary, intramedullary+extramedullary, or extramedullary by MRI.
We analyzed 11 patients who underwent surgery for spinal hemangioblastoma. Using T1 contrast axial MRI data, the cases were divided into three groups (intramedullary, intramedullary+extramedullary, and extramedullary). Patient demographics, MRI findings, and preoperative neurological status were analyzed and compared for each group.
The average age of patients with intramedullary, intramedullary+extramedullary, and extramedullary hemangioblastoma was 34.0, 64.4, and 67.5 years, respectively. Patients in the intramedullary hemangioblastoma group were younger than the other groups. Extramedullary cases had a smaller syrinx compared to the other groups.
Age may play an important role in the hemangioblastoma tumor location and the subsequent diagnosis by an MRI.
回顾性病例系列。
探讨肿瘤位置与临床特征之间的关系。
成血管细胞瘤是一种在中枢神经系统发生的罕见疾病。磁共振成像(MRI)对评估成血管细胞瘤很有用。根据MRI,成血管细胞瘤的位置分为髓内、髓内+髓外或髓外。
我们分析了11例行脊柱成血管细胞瘤手术的患者。利用T1增强轴向MRI数据,将病例分为三组(髓内、髓内+髓外和髓外)。对每组患者的人口统计学资料、MRI表现和术前神经状态进行分析和比较。
髓内、髓内+髓外和髓外成血管细胞瘤患者的平均年龄分别为34.0岁、64.4岁和67.5岁。髓内成血管细胞瘤组的患者比其他组年轻。与其他组相比,髓外病例的空洞较小。
年龄可能在成血管细胞瘤的肿瘤位置及随后的MRI诊断中起重要作用。