Steiger H J, Markwalder R V, Reulen H J
Neurochirurgische Klinik und Pathologisches Institut, Inselspital Bern.
Schweiz Med Wochenschr. 1988 Apr 2;118(13):471-7.
Cerebral cavernous angiomas or cavernomas have been increasingly diagnosed in recent years as a cause of recurrent cerebral hemorrhage or epilepsy. Some cavernomas exhibit a tumorous growth tendency. On CT-scan, cavernomas appear as variably cystic lesions often with focal calcifications. The lesion may be masked by a surrounding hematoma. Seventeen cases were observed initially or on follow-up within 3 years. Examination of the surgical specimens allowed differentiation of the lesions into several subtypes correlating to the different clinical courses. The diagnosis of cavernomas is important since these lesions can be cured surgically. The spontaneous clinical course, however, is usually progressive.
近年来,脑海绵状血管瘤或海绵状瘤作为复发性脑出血或癫痫的病因,其诊断日益增多。一些海绵状瘤呈现出肿瘤生长趋势。在CT扫描中,海绵状瘤表现为大小不一的囊性病变,常伴有局灶性钙化。病变可能被周围血肿掩盖。最初观察到或在3年内随访到17例病例。对手术标本的检查可将病变分为几种与不同临床病程相关的亚型。海绵状瘤的诊断很重要,因为这些病变可通过手术治愈。然而,其自然临床病程通常是进行性的。