医学
脊髓空洞症
血管母细胞瘤
丁香(药)
髓内棒
外科
腰骶关节
脊髓
室管膜瘤
脊髓肿瘤
神经根
显微外科
放射科
磁共振成像
精神科
作者
Christopher E. Mandigo,Alfred T. Ogden,Peter D. Angevine,Paul C. McCormick
出处
期刊:Neurosurgery
[Oxford University Press]
日期:2009-12-01
卷期号:65 (6): 1166-1177
被引量:75
标识
DOI:10.1227/01.neu.0000359306.74674.c4
摘要
Hemangioblastomas occur in 2% to 15% of reported series of intramedullary spinal cord tumors. They are benign, highly vascular tumors that can be cured with surgical resection. Complete removal of these tumors with low morbidity is possible with current microneurosurgical techniques and a thorough understanding of the typical relationship of the tumor to adjacent neural structures. We describe our experience with 16 intramedullary and 2 lumbosacral nerve root hemangioblastomas and review the relevant published literature. A detailed discussion of the operative technique is provided along with an operative video. Three illustrative cases are used to demonstrate clinical considerations that can arise with these tumors, including surgery during pregnancy, symptoms related to syrinx or syringomyelia, and postoperative consequences of neurological deficits.
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