Wei X, Li M, Li R
Tiantan Hospital, Beijing.
Zhonghua Wai Ke Za Zhi. 1995 Jun;33(6):367-8.
48 dumbbell like neurinoma at upper cervical vertebra were totally removed operatively and confirmed pathologically. Intermittent pain at neck and occiput limitation of neck movement, and numbness or pain at one or both side limbs were the most common symptoms. In the early stage, the disease was difficalt to recognize. If X-ray film of the cervical vertebra at bioblique position showed an enlarged intervertebral foramen, the diagnosis of neurinoma should be highly considered. MRI could make a definite diagnosis. Vertebral artery angiography is of great value. We also introduced experience in how to protect vertebral artery and respiratory function during operation.
48例上颈椎哑铃型神经鞘瘤均经手术全切除并经病理证实。颈部间歇性疼痛、枕部活动受限以及一侧或双侧肢体麻木或疼痛是最常见的症状。疾病早期难以识别。如果颈椎双斜位X线片显示椎间孔扩大，则应高度考虑神经鞘瘤的诊断。磁共振成像（MRI）可做出明确诊断。椎动脉造影具有重要价值。我们还介绍了术中如何保护椎动脉及呼吸功能的经验。
