浙江大学学报(医学版)
浙江大學學報(醫學版)
절강대학학보(의학판)
JOURNAL OF ZHEJIANG UNIVERSITY MEDICAL SCIENCES
2015年
2期
233-235
,共3页
何瞻%丁方%戎建东%朱光耀
何瞻%丁方%戎建東%硃光耀
하첨%정방%융건동%주광요
血管瘤,海绵状,中枢神经系统/外科学%椎管%胸椎/放射摄影术%病例报告
血管瘤,海綿狀,中樞神經繫統/外科學%椎管%胸椎/放射攝影術%病例報告
혈관류,해면상,중추신경계통/외과학%추관%흉추/방사섭영술%병례보고
Hemangioma,havernous,central nervous system/surgery%Spinal canal%Thoracic vertebrae/radiography%Case reports
一例55岁男性患者,因“进行性双下肢酸麻、乏力7月余”入院。胸椎MRI提示T3-6水平椎管内背侧、硬脊膜外呈稍长T1稍长T2信号占位性病变,增强后明显强化。手术探查发现肿块完全位于硬膜外腔,硬脊膜、椎体骨质无受累。肿块切除后组织病理学检查提示海绵状血管瘤。术后患者恢复良好。
一例55歲男性患者,因“進行性雙下肢痠痳、乏力7月餘”入院。胸椎MRI提示T3-6水平椎管內揹側、硬脊膜外呈稍長T1稍長T2信號佔位性病變,增彊後明顯彊化。手術探查髮現腫塊完全位于硬膜外腔,硬脊膜、椎體骨質無受纍。腫塊切除後組織病理學檢查提示海綿狀血管瘤。術後患者恢複良好。
일례55세남성환자,인“진행성쌍하지산마、핍력7월여”입원。흉추MRI제시T3-6수평추관내배측、경척막외정초장T1초장T2신호점위성병변,증강후명현강화。수술탐사발현종괴완전위우경막외강,경척막、추체골질무수루。종괴절제후조직병이학검사제시해면상혈관류。술후환자회복량호。
A 55-year-old man presented with progressive numbness and weakness of both lower limbs is reported .MRI demonstrated a pure epidural lesion at T 3-6 space appearing as isointense on T 1-weighted images with enhancement by contrast medium and hyperintense on T 2-weighted images . The lesion was totally removed microsurgically .Histological examination revealed cavernous hemangioma .The patient made a good recovery after surgery .