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海绵窦内跨鞍大海绵状血管瘤患者,双侧视神经受压。

A Patient With Large Cavernous Hemangioma in the Cavernous Sinus Straddling the Saddle With Bilateral Optic Nerve Compression.

机构信息

Department of Neurosurgery, Peking University ShenZhen Hospital, Shenzhen, China.

出版信息

J Craniofac Surg. 2022 Sep 1;33(6):e632-e636. doi: 10.1097/SCS.0000000000008701. Epub 2022 Aug 11.

Abstract

BACKGROUND

This report describes the removal of a giant cavernous hemangioma while protecting the blood vessels and nerves to the greatest degree of safety, relieving the intracranial space, and relieving the symptoms of the patient.

METHODS

Large cavernous hemangioma crossing into the cavernous sinus in a saddle surgery procedure was retrospectively analyzed, summarizing many cross-regional giant cavernous hemangioma treatments.

RESULTS

The patient underwent non-en bloc resection of the tumor with rapid removal. The internal carotid artery and adjacent nerves were safely preserved.

CONCLUSION

Large cavernous hemangiomas spanning from the cavernous sinus to the area of the butterfly saddle require complete evaluation, and appropriate surgical entry should be selected. With the surgeon having rich surgical experience, the operation can protect the patient's neurological function.

摘要

背景

本报告描述了在最大限度地保护血管和神经安全的情况下,切除巨大海绵状血管瘤,以缓解颅内空间并缓解患者的症状。

方法

回顾性分析了鞍区手术中穿过海绵窦的大型海绵状血管瘤,总结了许多跨区域的巨大海绵状血管瘤的治疗方法。

结果

患者行肿瘤非整块切除术,快速切除。颈内动脉和邻近神经得以安全保留。

结论

跨越海绵窦至蝶鞍区的大型海绵状血管瘤需要全面评估,应选择合适的手术入路。术者具有丰富的手术经验,手术可以保护患者的神经功能。

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