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目的 探讨颅内海绵状血管瘤的诊断和手术治疗方法。方法 回顾我院经手术证实的16例病人的临床资料,对其临床特征、诊断和治疗经验进行总结。结果 按发生部位将肿瘤分为三种类型:大脑半球型,颅中窝型,小脑型。大脑半球型9例,主要表现癫痫发作;颅中窝型5例,主要表现为视力野损害和眼球活动障碍;小脑型2例,表现为头痛和呕吐。肿瘤CT表现为圆形或类圆形的血供丰富的占位病变,但血管造影很少发现其血供。MR检查有助于明确诊断。肿瘤位于大脑半球和小脑者均全部切除,术后症状消失者占90％,颅中窝肿瘤全切除1例,部分切除4例,术后症状改善仅1例。结论 颅内不同部位海绵状血管瘤有各自的临床特点,诊断必须依靠MR检查,对有症状者应积极手术治疗。
Objective To investigate the diagnosis and surgical treatment of intracranial cavernous hemangioma. Methods The clinical data of 16 patients confirmed by surgery in our hospital were retrospectively reviewed, and their clinical characteristics, diagnosis and treatment experience were summarized. Results According to the site of the tumor will be divided into three types: the hemisphere, midfoveal type, cerebellum. Cerebral hemisphere in 9 cases, the main manifestations of seizures; middle cranial fossa in 5 cases, mainly for visual field damage and ocular motility disorders; 2 cases of cerebellum, manifested as headache and vomiting. Tumors CT showed a round or round type of blood-rich space-occupying lesions, but angiography rarely found its blood supply. MR examination can help confirm the diagnosis. Tumors in the cerebral hemispheres and cerebellum were all excised, postoperative symptoms disappeared accounted for 90%, cranial fossa tumors in 1 case, partial resection in 4 cases, postoperative symptoms improved in only 1 case. Conclusions Cavernous hemangiomas in different parts of the brain have their own clinical features. The diagnosis must depend on the MR examination and should be actively treated in symptomatic patients.