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目的 :研究小脑海绵状血管瘤的临床。方法 :回顾性分析经手术病理证实的小脑ICCA 18例。结果 :18例共 19个病灶 ,单发17例 ,多发 1例 2个病灶。 11例表现为小脑自发性出血 ,7例表现为颅高压及小脑症状。 15例行头颅CT检查 ,诊断小脑ICCA 2例 ,2个病灶 ;头颅MRI检查 16例 ,诊断小脑ICCA 15例 ,16个病灶。 3个病灶为囊性变。 18例均行手术治疗 ,其中 2例急诊手术清除血肿并全切除病灶。手术无死亡 ,疗效满意。结论 :自发性出血是本病的主要症状。MRI具有较高的诊断价值。首选手术切除病灶。囊性小脑ICCA可能为实质性ICCA内部慢性出血的结果。
Objective: To study the clinical application of cerebellum cavernous hemangioma. Methods: Retrospective analysis of 18 cases of cerebellar ICCA confirmed by surgery and pathology. Results: There were 19 lesions in 18 cases, 17 cases single and 1 case 2 lesions. 11 cases showed spontaneous cerebellar hemorrhage, 7 cases showed intracranial hypertension and cerebellar symptoms. 15 cases of skull CT examination, diagnosis of cerebellum ICCA 2 cases, 2 lesions; cranial MRI examination in 16 cases, the diagnosis of cerebellar ICCA in 15 cases, 16 lesions. 3 lesions cystic change. Eighteen patients underwent surgical treatment, of which 2 patients underwent emergency surgery to remove the hematoma and complete resection of the lesion. Surgery without death, satisfactory results. Conclusion: Spontaneous bleeding is the main symptom of this disease. MRI has a high diagnostic value. The preferred surgical removal of lesions. Cystic cerebellum ICCA may be the result of chronic ICEC internal bleeding.