CAJ | 학술논문

目的探讨脑静脉畸形出血的影像学特点及其手术治疗方法.方法回顾性分析8例脑静脉畸形出血的临床资料.7例采取显微手术治疗,1例出血破入脑室系统采取双侧脑室穿刺体外引流术.结果 8例经影像学及手术确诊为静脉畸形,其中2例合并海绵状血管瘤.随访2-60个月,平均21个月.所有患者均未发生再次出血,4例恢复日常生活工作,3例有不同程度恢复,但遗留神经功能缺损,1例加重(卧床).结论静脉畸形MRI、DSA表现呈"水母头"改变.血肿量大、反复出血及神经功能障碍进行性加重是脑静脉畸形的手术指征,手术应尽量保留有正常引流功能的静脉畸形.
목적 탐토뇌정맥기형출혈적영상학특점급기수술치료방법.방법 회고성분석8례뇌정맥기형출혈적림상자료.7례채취현미수술치료,1례출혈파입뇌실계통채취쌍측뇌실천자체외인류술.결과 8례경영상학급수술학진위정맥기형,기중2례합병해면상혈관류.수방2-60개월,평균21개월.소유환자균미발생재차출혈,4례회복일상생활공작,3례유불동정도회복,단유류신경공능결손,1례가중(와상).결론 정맥기형MRI、DSA표현정"수모두"개변.혈종량대、반복출혈급신경공능장애진행성가중시뇌정맥기형적수술지정,수술응진량보류유정상인류공능적정맥기형.
Objective To explore the imaging findings and surgical treatment of the cerebral venous malformations.Methods We retrospectively analyzed clinical datas of 8 cases of cerebral venous malformations presented with hemorrhage.Seven cases were taken microsurgical treatment;Another case with hemorrhage protrusion into cerebral ventricle were undertaken external ventricular drainage.Results Eight cases were confirmed as venous malformation by image examination and operation,two of which with cavernous angioma.During the follow-up period of 2-60 months,no hemorrhage occurred again.Four cases recover to normal state,3 patients' symptoms improved differently but left neurological defect,another one aggravated(lying in bed).Conclusion The characteristic of venous malformation in MRI and DSA is"caput medusae"sign.Large volume hemorrhage,repeated hemorrhage and neurological defect aggravating progressively aye seen as the sign of operation of cerebral venous malformation,the vein that has normal draining fuction should be retained during operation.