Miyagi Y, Mannoji H, Akaboshi K, Morioka T, Fukui M
Department of Neurosurgery, Yamaguchi Red Cross Hospital, Japan.
Neurosurgery. 1993 Mar;32(3):461-4; discussion 464. doi: 10.1227/00006123-199303000-00021.
We reported a case of cavernous malformation (CM) associated with medullary venous malformation in the same area. The CM was located in the trigone of the lateral ventricle in the dominant hemisphere and drained into the longitudinal caudate vein of Schlesinger via deep medullary veins. By a transsylvian transventricular approach, the CM was totally removed with successful preservation of the medullary venous malformation. This approach is available for trigonal lesions, especially in cases with enlarged inferior horn. We stress that CM removal can be conducted with preservation of the adjacent medullary venous malformation.
我们报告了一例在同一区域伴有髓静脉畸形的海绵状畸形(CM)病例。CM位于优势半球侧脑室三角区,经深髓静脉引流至施莱辛格纵行尾状静脉。通过经外侧裂经脑室入路,CM被完全切除,同时成功保留了髓静脉畸形。这种入路适用于三角区病变,尤其是下角扩大的病例。我们强调,在保留相邻髓静脉畸形的情况下可以进行CM切除。