Surgical management of cervical intramedullary cavernoma: case report and systematic review of the literature

IF 0.7 Q4 CLINICAL NEUROLOGY
Yao Christian Hugues Dokponou, Moussa Elmi Saad, Fresnel Lutece Ontsi Obame, Napoleão Imbunhe, Salami Mohcine, Abad Cherif El Asri, Miloud Gazzaz
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Abstract

Cavernous malformations can occur throughout the cerebral nervous system, most commonly located in the supratentorial compartment. The intramedullary location is rare and accounts for approximately 2.4% to 5% of all spinal vascular tumors. The cervical cord location and its clinical manifestations are underreported. The authors report a case of spinal cord compression at the C5–C6 level by a cervical intramedullary cavernoma with a systematic review of the literature according to the Preferred Reporting Items for Systematic Reviews and meta-analysis guidelines. Relevant studies (1980 to 2023) that reported patients with cervical intramedullary cavernoma were identified from PubMed databases. A total of 29 studies reporting 423 patients were included in this study with a mean age of 40.5 ± 6.3 years old. The overall male-to-female ratio was 1:2.5 with a median duration of follow-up of 46 months [18.5–63.9]. The type of resection as well as the patient’s outcome was also reported. Intramedullary cavernous angiomas are rare. Early surgical total resection of the symptomatic lesions in adequate conditions is crucial for good outcomes.
宫颈髓内海绵状瘤的手术治疗:病例报告和文献系统回顾
海绵畸形可发生在整个大脑神经系统,最常见的位置是在脑室上部。髓内位置很少见,约占脊髓血管瘤总数的2.4%至5%。颈脊髓位置及其临床表现的报道较少。作者报告了一例颈髓内海绵状瘤压迫C5-C6水平脊髓的病例,并根据《系统综述和荟萃分析首选报告项目》指南对文献进行了系统综述。从 PubMed 数据库中找出了报告颈髓内海绵状瘤患者的相关研究(1980 年至 2023 年)。本研究共纳入了 29 项研究,报告了 423 名患者,平均年龄为 40.5 ± 6.3 岁。男女比例为 1:2.5,中位随访时间为 46 个月 [18.5-63.9]。报告还包括切除类型和患者的预后。髓内海绵状血管瘤非常罕见。在条件允许的情况下及早对有症状的病灶进行手术全切除是取得良好疗效的关键。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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