Jayakumar P N, Vasudev M K, Srikanth S G
Department of Neuroradiology, National Institute of Mental Health and Neuro Sciences, Bangalore, India.
Spinal Cord. 1997 Sep;35(9):624-8. doi: 10.1038/sj.sc.3100438.
Vertebral haemangioma is a well known albeit infrequent cause for thoracic cord compression. While surgery is the treatment of choice in patients with neural compression syndromes, embolization of the feeding arterial pedicles is less frequently practiced. Twelve patients with vertebral haemangiomas and neural compression underwent particulate embolization of the feeder arteries. Eleven patients had a subsequent decompressive laminectomy. At 8 months of follow-up after radiotherapy, eleven patients had improved and in one patient, the clinical deficits were unchanged. Immediate pre-operative particulate embolization is to be considered in patients with a symptomatic spinal haemangioma.
椎体血管瘤是一种虽不常见但广为人知的导致胸段脊髓受压的病因。虽然手术是神经压迫综合征患者的首选治疗方法，但对供血动脉蒂进行栓塞的操作较少实施。12例患有椎体血管瘤并伴有神经压迫的患者接受了供血动脉的颗粒栓塞术。11例患者随后接受了减压性椎板切除术。放疗后8个月的随访结果显示，11例患者病情有所改善，1例患者的临床缺陷未变。对于有症状的脊柱血管瘤患者，应考虑在术前即刻进行颗粒栓塞。
