INTRAMEDULLARY VASCULAR-LESIONS IN THE HIGH CERVICAL REGION - TRANSORAL AND DORSAL SURGICAL APPROACH - 2 CASE-REPORTS

被引：13

作者：

FRIEDRICH, H

HANSELFRIEDRICH, G

ZEUMER, H

机构：

[1] Neurosurgical Department, General Hospital Heidberg, Hamburg

[2] Neuroradiological Section, University Hospital Eppendorf, Hamburg

来源：

NEUROSURGICAL REVIEW | 1990年 / 13卷 / 01期

关键词：

Dorsal approach; hemangioblastoma; intramedullary angioma and aneurysm; postoperative embolization; transoral approach;

D O I：

10.1007/BF00638896

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Intramedullary vascular malformations in the high cervical region are extremely rare. Two young adult patients with vascular lesions at the level C 2 and 3, and C 2-4 are reported. In one patient selective spinal angiography revealed a combined malformation with a ventral intramedullary arteriovenous angioma and a premedullary aneurysm. This malformation was approached and removed transorally after spondylectomy of C 2. In the second patient MRI and selective angiography showed an intramedullary hemangioblastoma extending from C 2-C 4. After embolization, this lesion was surgically removed via a dorsal approach. Both patients suffered from severe neurological deficits preoperatively. MRI and selective angiography showed the exact locations of the tumors within the spinal cord and indicated a transoral approach in one case and a dorsal approach in the other. After complete obliteration and removal of the lesions, the patients showed no neurological deficits and returned to their previous professions. © 1990 Walter de Gruyter & Co.

引用

页码：65 / 71

页数：7

共 14 条

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