Diagnosis and microsurgical treatment of intramedullary hemangioblastoma in cervical spinal cord
- VernacularTitle:颈髓髓内血管网织细胞瘤的诊断及显微外科治疗
- Author:
Xu-Hui HUI
;
Chao YOU
;
Rui-Chun LI
;
Si-Qing HUANG
;
Kai-Yong YANG
;
- Publication Type:Journal Article
- Keywords:
Intramedullary spinal cord tumor;
Hemangioblastoma;
Microsurgical operation
- From:
Chinese Journal of Microsurgery
2006;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the diagnosis and the microsurgical treatment of intramedullary hemangioblastoma in cervical spinal cord.Methods The signs of MRI,and the results of operations were analysed in 26 patients with the tumors.Rusults The tumors can be classified into two types:Solid type (14 cases)and cystic type(12 eases).All the tumors underwent total removal and were all hemangioblastoma confirmed by histopathologic examinations.Postoperatively,neurological status were improved in 17 patients, remained in 7 cases and worse in 2 cases.Conclusion For intrameduUary hemangioblastoma of cervical spinal cord MRI is of significant importance in the diagnosis of localization and the nature of the tumors which is conductive to selecting appropriate operative methods.There is high risk in operating at cervical section,but microsurgical total resection is the optimal method to stop the development of the clinical presentation.Opera- tive methods varied with the different typer of the tumor.It is the most important principal that dissection is performed along the correct interface and the tumor should be removed en bloc after it is devascularized.
