Cantore G, Delfini R, Cervoni L, Innocenzi G, Orlando E R
Department of Neurological Sciences, Neurosurgery, La Sapienza University of Rome, Italy.
Surg Neurol. 1995 May;43(5):448-51; discussion 451-2. doi: 10.1016/0090-3019(95)80088-x.
The authors report six cases of intramedullary cavernoma. Symptoms evolved by episodes of stepwise neurologic deterioration or slow progression. All patients had preoperative and postoperative magnetic resonance imaging (MRI). Removal of the cavernoma was total in all cases and in one a transthoracic approach was performed because of the ventral and superficial position of the lesion. At follow-up, ranging from 6 to 18 months, two patients improved, two were unchanged, and one had deteriorated. Prognosis was influenced by the length of clinical history and the severity of preoperative symptoms. The principal clinical and therapeutic aspects of cavernoma are discussed in light of the published data.
作者报告了6例髓内海绵状血管瘤。症状表现为逐步的神经功能恶化或缓慢进展。所有患者术前行磁共振成像（MRI）检查，术后也进行了MRI检查。所有病例均完全切除了海绵状血管瘤，其中1例因病变位于腹侧且表浅，采用了经胸入路。随访时间为6至18个月，2例患者病情改善，2例无变化，1例病情恶化。预后受临床病史长短和术前症状严重程度的影响。根据已发表的数据，讨论了海绵状血管瘤的主要临床和治疗方面。
