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颈段脊髓神经根海绵状血管瘤:病例报告及文献复习

Cervical spinal root cavernoma: case report and review.

作者信息

Henderson Fraser, Skipper Daniel Carl, Patel Sunil

机构信息

a Department of Neurosurgery , Medical University of South Carolina , Charleston , South Carolina , USA.

b Department of Pathology and Laboratory Medicine , Medical University of South Carolina , Charleston , South Carolina , USA.

出版信息

Br J Neurosurg. 2018 Aug;32(4):445-447. doi: 10.1080/02688697.2016.1229753. Epub 2016 Sep 16.

Abstract

AIM

Cavernous malformations in the spinal canal are rare. We review previous reports and present our own case of a cervical intradural extramedullary cavernoma, associated with a ventral cervical rootlet.

METHODS

A 65 year old woman presented with radicular pain and paresthesias of the neck and right arm. PubMed search was used to compare her case to those previously published.

RESULTS

The cavernoma was successfully removed with excellent recovery and no deficits. Histopathology confirmed the diagnosis.

CONCLUSION

Gross total resection of symptomatic lesions continues to be the recommended approach, and resection outcomes have restored function in all cases but one, where the deficit persisted.

摘要

目的

椎管内海绵状血管畸形较为罕见。我们回顾既往报告并展示我们自己的1例与颈前神经根相关的颈段硬膜内髓外海绵状血管瘤病例。

方法

一名65岁女性出现颈部及右臂神经根性疼痛和感觉异常。使用PubMed搜索将她的病例与既往发表的病例进行比较。

结果

海绵状血管瘤成功切除,恢复良好且无功能缺损。组织病理学确诊。

结论

对于有症状的病变,推荐继续采用全切除方法,除1例功能缺损持续存在外,所有病例的切除结果均恢复了功能。

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