Tokumitsu N, Sako K, Hashimoto M, Aizawa S, Izumi N, Yonemasu Y
Department of Neurosurgery, Asahikawa Medical College.
No Shinkei Geka. 1993 Jan;21(1):83-7.
A case of cavernous angioma of the pons which was surgically and successfully excised was reported. A 36 year-old man complained of progressive headache, double vision and tinnitus. Neurologic examination revealed left fifth, sixth and seventh cranial nerve palsies. He had left limb ataxia and right sided hemisensory deficit. A computed tomographic (CT) scan on admission disclosed a hematoma in the left lateral portion of the pons. Serial CT scans demonstrated progressive increase of hematoma. MRI scans revealed an area of mixed signal intensity in T1 weighted images. These findings were thought to be consistent with a cavernous angioma. Three months after the onset, surgery was performed using a lateral suboccipital approach. Histological examination disclosed cavernous angioma. After surgery, the patient's neurological deficits improved, and after 3 months, all symptoms except the mild limb ataxia had disappeared.
报告了一例经手术成功切除的脑桥海绵状血管瘤病例。一名36岁男性，主诉进行性头痛、复视和耳鸣。神经系统检查发现左侧第五、第六和第七颅神经麻痹。他有左侧肢体共济失调和右侧半身感觉障碍。入院时的计算机断层扫描（CT）显示脑桥左侧外侧部有血肿。连续CT扫描显示血肿逐渐增大。磁共振成像（MRI）扫描在T1加权图像上显示一个信号强度混合的区域。这些发现被认为与海绵状血管瘤相符。发病三个月后，采用枕下外侧入路进行手术。组织学检查显示为海绵状血管瘤。手术后，患者的神经功能缺损有所改善，3个月后，除轻度肢体共济失调外，所有症状均消失。
