Mishima K, Sasaki T, Ojima T, Mukasa A, Kirino T
Department of Neurosurgery, Faculty of Medicine, University of Tokyo, Japan.
Acta Neurochir (Wien). 1998;140(1):20-5. doi: 10.1007/s007010050052.
The authors report two cases of cavernous malformation characterized by a multilobular appearance on magnetic resonance images. At surgery, the malformations consisted of several nests of angiomatous components that were separated by intervening brain tissue and connected with each other by tiny vessels. This basic configuration seems to explain the unexpected postoperative recurrence of cavernous malformations and/or rebleeding from the residual lesions.
作者报告了两例海绵状血管畸形病例,其在磁共振图像上表现为多叶状外观。手术中,这些血管畸形由几个血管瘤成分的巢状结构组成,它们被其间的脑组织分隔开,并通过微小血管相互连接。这种基本结构似乎可以解释海绵状血管畸形术后意外复发和/或残留病变再出血的原因。