Surgery via sylvian fissure-insular approach for 8 patients with invasive thalamus cavernous malformations
10.3760/cma.j.cn115354-20220311-00132
- VernacularTitle:外侧裂-岛叶入路手术治疗8例侵袭性丘脑海绵状血管瘤报道
- Author:
Haibing LIU
1
;
Jingfang HONG
;
Liang XUE
;
Yongtian HUANG
;
Liangfeng WEI
;
Shousen WANG
Author Information
1. 中国人民解放军联勤保障部队第九〇〇医院神经外科，福州 350025
- Keywords:
Cavernous malformation;
Thalamus;
Invasion;
Sylvian fissure-insular approach
- From:
Chinese Journal of Neuromedicine
2022;21(6):611-615
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the surgical treatment efficacy and experience of invasive thalamus cavernous malformations (CMs).Methods:A retrospective analysis was performed. The clinical and follow-up data of 8 patients with invasive thalamus CMs, admitted to our hospital from July 2007 to June 2020, were chosen. These patients accepted minimally invasive resection via sylvian fissure-insular approach after the second rapture hemorrhage; follow up was performed for 8 months-10 years. Results:The lesions of these 8 patients were near the lateral thalamus, and the lesions were completely removed during the surgery. Within 24 h of surgery, the lower limb muscle strength of one patient was improved to grading 2, and that of 2 patients was improved to grading 1. Follow up results 6 months after treatment showed that the modified Rankin scale scores were 1-3 in 5 patients and 4 in 3 patients; and there were no recurrence during the follow-up of (49.7±37.8) months.Conclusion:The resection via sylvian fissure-insular approach is safe and effective for patients with invasive thalamus CMs after the second rapture hemorrhage.
