儿童脑内海绵状血管瘤的临床特点及治疗

目的：探讨儿童脑内海绵状血管瘤的临床特点,诊断及治疗。方法：采用回顾分析的方法,对1990－2000年11年间收治的儿童脑内海绵状血管瘤30例,其中手术27例,进行临床资料分析。结果：30例患者以病灶反复出血所致癫痫和局灶性神经功能缺损为主要症状。MRI显示为以混杂信号或高信号为主,T1像特别是T2像瘤周可见环状低信号影,手术患儿预后良好,结论：MRI是目前诊断和随访脑实质内海绵状血管瘤的最佳检查手段,手术是治疗儿童脑内海绵状血管瘤的首选方法。

The clinical features and treatment of cerebral cavernous angiomas in children

Objective To discuss the clinical features, diagnosis and treatment of cerebral cavernous angiomas in children. Methods The clinical data of 30 cases of cavernous angioma hospitalized in the past 11 years, 25 boys and 5 girl, with an average age of 9.4 years, of which 27 underwent operation, were analyzed retrospectively. Results Epilepsy and focal neurological deficits caused by repeated hemorrhage of lesion were the most common symptoms. MRI appearances were mainly high or complex abnormal signal. Ring shaped low signal could be seen around the lesions by T1 and T2, especially by T2. The results of operation were satisfactory. Conclusion MRI examination is the best method for diagnosis and follow up of cerebral cavernomas. Operation is the first choice for paediatric cavernous angioma. [