脑内巨大海绵状血管瘤 |
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引用本文: | 郭强,吴杰,金鑫,华刚,谭家亮,朱丹. 脑内巨大海绵状血管瘤[J]. 临床神经外科杂志, 2011, 8(5): 258-260. DOI: 10.3969/j.issn.1672-7770.2011.05.011 |
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作者姓名: | 郭强 吴杰 金鑫 华刚 谭家亮 朱丹 |
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作者单位: | 广东三九脑科医院神经外科,广州,510510 |
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摘 要: | 目的 探讨脑内巨大海绵状血管瘤(GCM)的临床特点及治疗.方法 回顾性分析3例脑内巨大海绵状血管瘤的临床资料.结果 3例患者中,2例行手术治疗,完整切除病变,术后均无神经功能障碍及其他严重并发症,1例术后原有头痛完全缓解,视力、视野部分恢复;1例术后发作完全控制;1例拒绝手术,随访2年仍有癫(癎)发作,尚未出现较严重...
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关 键 词: | 海绵状血管瘤 巨大 癫(癎) 外科 |
Analysis on cerebral giant cavernous malformation |
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Affiliation: | GUO Qiang, WU Jie, JIN Xin, et al. Department of Neurosurgery , Guangdong 999 Brain Hospital, Guangzhou , 510510 |
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Abstract: | Objective To explore the clinical characteristics and treatment of cerebral giant cavernous malformation (GCM). Methods The clinical data of three patients with cerebral CA were analyzed retrospectively. Results Of 3 patients, 2 received operation of complete lesion excision. No neurological deficit or other serious complications occurred in 2 patients after operations. One of the 2 patients had experienced headache before operation but was eased afterwards. Besides, his vision and visual field partially recovered. The other one was seizure free after surgery. One patient who refused surgery was found to have seizures during the two-year tbllow-up, but no serious hemorrhage event. Conclusions Hence, the diagnosis of cerebral giant cavernous malformation should be regarded as an independent one. The criterion of “diameter≥6cm” is more convenient for the clinical diagnosis and measures. A surgery ought to be applied in time once the patient is diagnosed by MRI and CT. A complete lesion excision can bring about satisfactory prognosis. |
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Keywords: | cavernous malformation giant epilepsy surgery |
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