胸段脊髓髓内和髓外混合型毛细血管瘤的代表性切除术
Illustrative resection of mixed intra- and extramedullary thoracic spinal cord capillary hemangioma.
作者信息
Protas Matthew, Ojukwu Disep I, Draytsel Dan Y, Galgano Michael A
机构信息
Department of Neurosurgery, SUNY Upstate Medical University, Syracuse, New York, United States.
St. George's University, School of Medicine, Great River, New York, United States.
出版信息
Surg Neurol Int. 2023 Jun 30;14:226. doi: 10.25259/SNI_402_2023. eCollection 2023.
BACKGROUND
Capillary hemangiomas are typically superficial benign tumors of the cutaneous and mucosal tissues of the face and neck in pediatric patients. In adults, they typically occur in middle-aged males who present with pain, myelopathy, radiculopathy, paresthesias, and bowel/bladder dysfunction. The optimal treatment for intramedullary spinal cord capillary hemangiomas is gross total/ resection.
METHODS
Here, we present a 63-year-old male with increasing right greater than left lower extremity numbness/ weakness, attributed to a T8-9 mixed intra- and extramedullary capillary hemangioma.
RESULTS
One year following complete lesion resection, the patient used an assistive device to ambulate and continued to improve neurologically.
CONCLUSION
We presented a 63-year-old male whose paraparesis was attributed to a T8-9 mixed intra- and extramedullary capillary hemangioma who did well following total lesion resection. In addition to this case study/technical note, we provide a 2-D intraoperative video detailing the resection technique.
背景
毛细血管瘤通常是儿科患者面部和颈部皮肤及黏膜组织的浅表良性肿瘤。在成人中，它们通常发生于中年男性，表现为疼痛、脊髓病、神经根病、感觉异常以及肠道/膀胱功能障碍。脊髓内毛细血管瘤的最佳治疗方法是全切除。
方法
在此，我们报告一名63岁男性，其右下肢麻木/无力较左下肢加重，病因是T8 - 9节段混合型髓内和髓外毛细血管瘤。
结果
病变完全切除1年后，患者使用辅助器械行走，神经功能持续改善。
结论
我们报告了一名63岁男性，其双侧下肢轻瘫归因于T8 - 9节段混合型髓内和髓外毛细血管瘤，全病变切除后恢复良好。除了本病例研究/技术说明外，我们还提供了一段二维术中视频，详细展示了切除技术。
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