Ide C, Gangi A, Rimmelin A, Beaujeux R, Maitrot D, Buchheit F, Sellal F, Dietemann J L
Department of Radiology 2, University Hospital of Strasbourg, Hôpital de Hautepierre, France.
Neuroradiology. 1996 Aug;38(6):585-9. doi: 10.1007/BF00626105.
We report on cervical and two thoracic vertebral haemangiomas with neurological disturbance successfully treated by percutaneous vertebroplasty followed by decompression surgery. Vertebroplasty consolidates the vertebral body and reduces the risk of haemorrhage. Subsequent surgery may be limited to decompressive laminectomy and resection of the epidural extension of the haemangioma. embolisation was also carried out in one case. Complete neuroimaging workup, including CT, myelo-CT and MRI, is necessary prior to treatment.
我们报告了经皮椎体成形术继以减压手术成功治疗的伴有神经功能障碍的颈椎及两个胸椎血管瘤病例。椎体成形术可加固椎体并降低出血风险。后续手术可能仅限于减压性椎板切除术及切除血管瘤的硬膜外延伸部分。其中1例还进行了栓塞治疗。治疗前进行包括CT、脊髓CT和MRI在内的完整神经影像学检查很有必要。