Department of Neurologic Surgery, Mayo Clinic, 200 First Street, SW, Rochester, MN, 55905, USA.
Division of Neurosurgery, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy.
Acta Neurochir (Wien). 2022 Aug;164(8):2257-2261. doi: 10.1007/s00701-022-05269-9. Epub 2022 Jun 29.
BACKGROUND: Spinal cord cavernous malformations (CMs) account for 5 to 12% of all spinal vascular malformations. Surgical removal is indicated in symptomatic patients, especially if the CM comes close to the dorsal or lateral surface of the spinal cord. Spinal cord CMs pose critical challenges for the potential of severe disabling complications. METHOD: We described the step-by-step surgical principles of spinal cord CM microsurgical resection. The main surgical steps are also illustrated in an accompanying operative video. CONCLUSION: Pre-surgical planning of the basic steps and good contingency management skills are paramount for an effective and safe spinal cord CM excision.
背景：脊髓海绵状血管畸形（CMs）占所有脊髓血管畸形的 5%至 12%。有症状的患者需要进行手术切除，尤其是当 CMs 接近脊髓的背侧或外侧表面时。脊髓 CMs 存在严重致残并发症的潜在风险。 方法：我们描述了脊髓 CMs 显微切除的分步手术原则。主要手术步骤也在配套的手术视频中进行了说明。 结论：有效的脊髓 CMs 切除需要术前对基本步骤进行规划，并具备良好的应急管理技能。
Acta Neurochir (Wien). 2022-8
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