Microsurgical treatment of spinal intradural capillary hemangioma: A consecutive case series of 18 patients and literature review

IF 1.8 4区 医学 Q3 CLINICAL NEUROLOGY
Zheng Cai , Xinjie Hong , Zhengwei Zhang , Xuehua Ding , Wei Sun , Guohan Hu
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引用次数: 0

Abstract

Purpose

Intradural capillary hemangioma is a rare condition with unclear etiology. Although intradural capillary hemangiomas are benign, they exhibit significant proliferative activity, and their clinical significance should not be underestimated.

Methods

We report a series of spinal intradural capillary hemangiomas to illustrate the characteristics, surgical management, and outcomes.

Methods

A total of 18 consecutive patients who underwent microsurgical treatment were retrospectively reviewed. Patient characteristics were recorded in each case, including presenting symptoms, imaging findings, neurologic status, a surgical procedure performed and follow-up.

Results

There were 11(61.1 %) male and 7(38.9 %) female patients, with the ages ranging from 25 to 62 years. The thoracic spine was the most commonly affected site, accounting for 77.8 % (14/18) of the cases. 9 tumors were identified as intradural extramedullary, 3 tumors as intramedullary, and 2 tumors as both extramedullary and intramedullary. There were also 4 cases of tumors localized to the cauda equina. Clinical presentations included back pain, sensory deficits, weakness and gait ataxia with a duration of symptoms ranging from 1 to 12 months. The lesion was hypointense or isointense with the spinal cord on T1- weighted images and hyperintense on T2-weighted images and showed intense enhancement after contrast medium injection. All patients underwent surgical treatment, and no significant postoperative complications were observed. Postoperatively, patients were followed up for an average of 44 months. Follow-up showed that the majority of patients experienced significant improvement in neurological function, with no cases of recurrence.

Conclusion

Surgical resection is typically the preferred method for treating spinal intradural capillary hemangiomas. Complete resection can relieve spinal cord compression and minimize the risk of recurrence.

脊柱硬膜内毛细血管瘤的显微外科治疗:18例患者的连续病例系列和文献综述
目的硬膜内毛细血管瘤是一种病因不明的罕见疾病。虽然硬膜内毛细血管瘤是良性的,但它们具有显著的增殖活性,其临床意义不容低估。方法我们报告了一系列脊柱硬膜内毛细血管瘤,以说明其特点、手术治疗和结果。方法回顾性分析了连续接受显微外科治疗的 18 例患者。结果男性患者11例(61.1%),女性患者7例(38.9%),年龄在25岁至62岁之间。胸椎是最常受影响的部位,占77.8%(14/18)。9例肿瘤被鉴定为髓外膜内肿瘤,3例肿瘤被鉴定为髓内肿瘤,2例肿瘤同时被鉴定为髓外膜内肿瘤和髓内肿瘤。还有 4 例肿瘤位于马尾。临床表现包括背痛、感觉障碍、无力和步态共济失调,症状持续时间为1至12个月。病灶在T1加权图像上与脊髓呈低或等密度,在T2加权图像上呈高密度,注射造影剂后呈强强化。所有患者均接受了手术治疗,术后未发现明显并发症。术后对患者进行了平均 44 个月的随访。结论手术切除通常是治疗脊髓硬膜内毛细血管瘤的首选方法。完全切除可减轻脊髓压迫,并将复发风险降至最低。
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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来源期刊
Clinical Neurology and Neurosurgery
Clinical Neurology and Neurosurgery 医学-临床神经学
CiteScore
3.70
自引率
5.30%
发文量
358
审稿时长
46 days
期刊介绍: Clinical Neurology and Neurosurgery is devoted to publishing papers and reports on the clinical aspects of neurology and neurosurgery. It is an international forum for papers of high scientific standard that are of interest to Neurologists and Neurosurgeons world-wide.
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