Piovesan Eduardo Cattapan, Petry Silva Werner, Mallmann Adroaldo Baseggio, Lanzini Felipe Severo, Zanatta de Freitas Bruna, Lemanski Francisco Costa Beber, Carazzo Charles André
Department of Neurosurgery, University of Passo Fundo, Passo Fundo, Rio Grande do Sul, Brazil.
Department of Neurosurgery, São Vicente de Paulo Hospital, Passo Fundo, Rio Grande do Sul, Brazil.
Surg Neurol Int. 2023 Apr 14;14:137. doi: 10.25259/SNI_252_2023. eCollection 2023.
Spinal cord hemangioblastomas (HBs) account for 2-15% of all spinal cord neoplasms. They are the third most common primary intramedullary tumor (1-5%). Here, 72-year-old female presented with a thoracic intramedullary spinal HB that responded well to surgery.
A 72-year-old female presented with a 3-4 years of progressive paresthesias and paraparesis. On examination, she exhibited diffuse distal weakness of the lower extremities. The magnetic resonance scan showed an intramedullary expansive lesion at the T1-T2 level that markedly enhanced with contrast with both proximal and distal hydromyelia. Surgery included a C7 partial and T1-T2 total laminectomies performed under microscope visualization with intraoperative monitoring. At surgery, there was a well-documented cleavage plane between the tumor and the cord; excision was facilitated using the cavitron ultrasonic surgical aspirator device.
Surgery is the gold standard treatment for treating/resecting HBs and should include utilization of an operating microscope and intraoperative monitoring.
脊髓血管母细胞瘤（HBs）占所有脊髓肿瘤的2% - 15%。它们是第三常见的原发性髓内肿瘤（1% - 5%）。在此，一名72岁女性患有胸段髓内脊髓HB，手术效果良好。
一名72岁女性出现3 - 4年的进行性感觉异常和下肢轻瘫。检查时，她表现出双下肢弥漫性远端无力。磁共振扫描显示T1 - T2水平有一个髓内膨胀性病变，增强扫描后明显强化，近端和远端均伴有脊髓空洞症。手术包括在显微镜直视下并术中监测下行C7部分及T1 - T2全椎板切除术。手术时，肿瘤与脊髓之间有明确的分离平面；使用超声吸引手术器便于切除肿瘤。
手术是治疗/切除HBs的金标准，应包括使用手术显微镜和术中监测。
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