Shima F, Mihara K, Hachisuga S
J Neurosurg. 1982 Aug;57(2):274-7. doi: 10.3171/jns.1982.57.2.0274.
This case of angioma in the paraspinal muscles with extension into the epidural tissue was complicated by epidural hematoma in the thoracolumbar region. The hemorrhage was caused by rupture of the part of the angioma lying in the epidural tissue. A spinal bruit was of great value in diagnosing the angioma. Percutaneous embolization of the feeding arteries of the angioma reduced bleeding during surgery and contributed to successful surgical treatment.
该例椎旁肌血管瘤延伸至硬膜外组织,并伴有胸腰段硬膜外血肿。出血是由位于硬膜外组织的血管瘤部分破裂所致。脊柱杂音对血管瘤的诊断具有重要价值。对血管瘤供血动脉进行经皮栓塞可减少手术中的出血,并有助于手术治疗成功。