Treatment strategies of medulla oblongata cavernous malformations
10.3760/cma.j.issn.1671-8925.2016.09.012
- VernacularTitle:延髓海绵状血管畸形的治疗策略分析
- Author:
Rongjun QIAN
1
;
Zhixiao LI
;
Jiadong ZHANG
;
Xiwen SHI
Author Information
1. 河南省人民医院神经外科
- Keywords:
Cavernous malformation;
Medulla oblongata;
Surgery
- From:
Chinese Journal of Neuromedicine
2016;15(9):932-935
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the strategies and efficacies of surgical treatment in medulla oblongata cavernous malformations.Methods The clinical and follow-up data of 9 patients with medulla oblongata cavernous malformations,admitted to our hospital from October 201 1 to February 2015,were retrospectively analyzed.Five patients underwent surgical treatment:posterior midline transcerebellomedullary fissure approach was used in 4,far-lateral transcondylar approach in one,and all cavernous malformations were excised completely.Conservative treatment and regular observation were done in 4 patients.Follow-up was performed for 10-40 months.Results Symptoms improved after surgery in 4 patients;postoperative hemiplegia appeared in one,and at the end of follow-up,the muscle strength of hemiplegic limbs recovered to level Ⅳ.Minor re-hemorrhage was noted in one of the 4 patients with conservative treatment at the end of the follow-up,and no changes were noted in the rest patients.Karnofsky Performance Scale scores were 82.2 ±6.7,which were significantly increased as compared with those before treatment (73.3±11.2,P＜0.05).Conclusion After strict preoperative evaluation,surgical treatment is a feasible way,enjoying good prognosis in medulla oblongata cavernous malformations;but,patients with deep site,small malformations or no obvious bleeding symptoms should not be operated.
