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.
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页码：65 / 71
页数：7
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