脊髓血管脂肪瘤——儿童截瘫的一种罕见但可逆转的病因。
Spinal angiolipoma-a rare but reversible cause of paraplegia in a child.
作者信息
Jaiswal Palak A, Divakar Ganesh, Krishnakumar K, Karthikayan Arunkumar, Sawakare Yogesh, Mhatre Radhika, Abraham Mathew
机构信息
Department of Neurosurgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Thiruvananthapuram, Kerala, India.
Department of Pathology, National Institute of Mental Health and Neurosciences (NIMHANS), Benguluru, India.
出版信息
Childs Nerv Syst. 2020 Jun;36(6):1121-1125. doi: 10.1007/s00381-020-04542-5. Epub 2020 Feb 12.
PURPOSE
Spinal angiolipomas are benign spinal epidural tumors consisting of mature fat cells with angiomatous components. These tumors are rare in children and there are no definite management guidelines.
METHOD
To the best of our knowledge, only five cases of spinal angiolipomas have been reported in children below 12 years. This article discusses the presentation, diagnostics, and surgical tips for the management of a case of spinal angiolipoma.
RESULT
In this paper, we present a one and half-year-old child presenting with a spontaneous spinal epidural hematoma from a spinal angiolipoma and underscore the importance of early surgery in a benign disease for a good outcome.
CONCLUSION
Overall neurological recovery and prognosis following timely intervention for spinal angiolipomas are good.
目的
脊髓血管脂肪瘤是一种良性脊髓硬膜外肿瘤，由成熟脂肪细胞和血管成分组成。这些肿瘤在儿童中罕见，且尚无明确的治疗指南。
方法
据我们所知，12岁以下儿童的脊髓血管脂肪瘤病例仅报道过5例。本文讨论了一例脊髓血管脂肪瘤的临床表现、诊断及手术技巧。
结果
本文报告了一名1.5岁儿童因脊髓血管脂肪瘤导致自发性脊髓硬膜外血肿，并强调了在良性疾病中早期手术对获得良好预后的重要性。
结论
脊髓血管脂肪瘤及时干预后的总体神经功能恢复及预后良好。
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