摘要
目的 探讨手术治疗自发性脑干血肿的可能性。方法 多数病例临床症状和体征主要侵犯桥脑， 进行性临床恶化最为常见， 易导致临床诊断为同轴心性肿瘤， Ｃ Ｔ 是主要的确诊手段， 显示高增强密度的肿块， 非均一性高强度病变及周围对比增强的等密度病变， 病变的 Ｃ Ｔ 特征与临床表现的持续时间无何预测性的关系。所有病例经过显微手术， 清除血肿， 并全面地观察血肿腔及取活检。结果 ６ 例证实为“隐性”血管畸形。术后３ 例有短暂轻微并发症。所有病例都能恢复术前活动，无术后复发者。结论 手术是自发性脑干血肿的一种可行的治疗选择。
Objective To explore the possibility of surgical treatment of bram stem hematama.Methods The clinical symptoms and signs pointed to pontine involvement in most cases. Progressive clinical deterioration was guite common and usually led to a clinical diagnosis of brain stem intra axial tumor. CT was the main diagnostic test.This gave evidence of different pathological characteristics.Including masses showing highly increased density,nonhomogeneous hyperdense lesions,and isodense lesions with peripheral contrast enhancement,No clear correlation was found between the presumed duration of the clinical pictural and CT characteristics of the lesion. No cases in which direct esidence of an intra axial vascular malformation could be from. All of patients were treated microneurosurgically with an attempt for total removal of the lesion and through inspection of the hematoma cavity and biopsy. Results Evidense of cryptic arteriovetions malformation was obtained in 6 of 8 cases. There were minor complication in 3 cases.All of the patients were able to resume their previous activity,and none suffered recurrence symptoms after the operation.Conclusion Surgery is an effective treatment for brain stem hematoma.
出处
《中华神经外科杂志》
CSCD
北大核心
1999年第5期269-271,共3页
Chinese Journal of Neurosurgery
关键词
脑干血肿
外科手术
Brain stem Hematoma Arteriovenous malformation Cryptic AVM
