Loesch D V, Gilman S, Del Dotto J, Rosenblum M L
Department of Neurological Surgery, Henry Ford Hospital, Detroit, Michigan, USA.
J Neurosurg. 1995 Aug;83(2):354-8. doi: 10.3171/jns.1995.83.2.0354.
The authors present the first documented case of a cavernous malformation of the mammillary bodies. A 34-year-old woman presented with a 2-month history of headaches and acute memory changes. Magnetic resonance imaging studies demonstrated a retrochiasmatic interpeduncular lesion that was initially thought to be a craniopharyngioma. Operative resection confirmed the diagnosis of a cavernous malformation. This particular case is unique in its destruction of the mammillary bodies and presents further evidence of the relationship of these regions to memory. This report is also the first to document results of pre- and postoperative neuropsychological evaluations that specifically address the memory deficits created by destruction of the mammillary bodies.
作者报告了首例有记录的乳头体海绵状畸形病例。一名34岁女性，有2个月的头痛和急性记忆改变病史。磁共振成像研究显示视交叉后脚间病变，最初被认为是颅咽管瘤。手术切除证实为海绵状畸形。该特殊病例的独特之处在于乳头体遭到破坏，进一步证明了这些区域与记忆的关系。本报告也是首例记录术前和术后神经心理学评估结果的报告，该评估专门针对乳头体破坏所造成的记忆缺陷。
