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鞍上视路海绵状血管畸形的诊断与治疗现状。

Diagnosis and treatment status of suprasellar optic pathway cavernous malformations.

机构信息

Department of Neurosurgery, The First Hospital of Jilin University, Changchun, Jilin, P.R. China.

出版信息

J Int Med Res. 2023 Dec;51(12):3000605231219167. doi: 10.1177/03000605231219167.

DOI:10.1177/03000605231219167
PMID:38147640
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10752090/
Abstract

Cerebral cavernous malformations constitute a subtype of cerebral vascular malformation typically located in the cerebral cortex. However, their occurrence in the suprasellar optic pathway is relatively rare. There is some uncertainty surrounding the clinical diagnostic methods and optimal treatment strategies specific to suprasellar optic pathway cavernous malformations. In this narrative review, we retrospectively analyzed relevant literature related to suprasellar visual pathway cavernous malformations. We conducted a study involving 90 patients who were postoperatively diagnosed with cavernous malformations, including the 16-year-old male patient mentioned in this article. We have summarized crucial clinical data, including the patient age distribution, sex ratio, lesion locations, primary symptoms, and surgical approaches. The comprehensive analysis of this clinical information underscores the critical importance of timely intervention in relieving symptoms and improving neurological deficits in affected patients. These findings provide valuable guidance and insight for clinical practitioners and researchers dealing with this specific medical condition.

摘要

脑海绵状血管畸形是一种脑血管畸形亚型,通常位于大脑皮层。然而,它们在鞍上视神经通路中的发生相对较少。针对鞍上视神经通路海绵状血管畸形的临床诊断方法和最佳治疗策略存在一些不确定性。在本叙述性综述中,我们回顾性分析了与鞍上视路海绵状血管畸形相关的文献。我们对 90 例术后诊断为海绵状血管畸形的患者进行了研究,包括本文中提到的这位 16 岁男性患者。我们总结了关键的临床数据,包括患者年龄分布、男女比例、病变位置、首发症状和手术入路。对这些临床资料的综合分析强调了及时干预以缓解症状和改善受影响患者的神经功能缺损的重要性。这些发现为处理这种特定医疗状况的临床医生和研究人员提供了有价值的指导和见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76a3/10752090/466b48e59499/10.1177_03000605231219167-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76a3/10752090/afc0e23828e8/10.1177_03000605231219167-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76a3/10752090/2b25f8189379/10.1177_03000605231219167-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76a3/10752090/7f0fbc09aac9/10.1177_03000605231219167-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76a3/10752090/985427349d5e/10.1177_03000605231219167-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76a3/10752090/466b48e59499/10.1177_03000605231219167-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76a3/10752090/afc0e23828e8/10.1177_03000605231219167-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76a3/10752090/2b25f8189379/10.1177_03000605231219167-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76a3/10752090/7f0fbc09aac9/10.1177_03000605231219167-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76a3/10752090/985427349d5e/10.1177_03000605231219167-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76a3/10752090/466b48e59499/10.1177_03000605231219167-fig5.jpg

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Acad Radiol. 2023 Nov;30(11):2696-2706. doi: 10.1016/j.acra.2023.01.017. Epub 2023 Mar 6.
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Cerebral cavernous malformations: Typical and atypical imaging characteristics.
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J Neuroimaging. 2023 Mar;33(2):202-217. doi: 10.1111/jon.13072. Epub 2022 Dec 1.
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Lancet Neurol. 2023 Jan;22(1):35-44. doi: 10.1016/S1474-4422(22)00409-4. Epub 2022 Nov 17.
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