新生儿颅内海绵状血管瘤并囊性变1例报告及文献分析  

Intracranial cavernous angiomas in neonates ( 1 case report and review of literature)

作　　者：孙腾宇 侯现增[1] 范晓勇[1] 黄传江 刘广存[1] SUN Teng-yu;HOU Xian- zeng;Fan Xiao-yong(Department of Neurosurgery, Shandong Provirwe Qianfoshan Hosipital, Jinan 250014, China)

机构地区：[1]山东省千佛山医院神经外科,济南250014

出　　处：《临床神经外科杂志》2018年第3期223-225,共3页Journal of Clinical Neurosurgery

摘　　要：目的探讨新生儿(及胎儿)颅内海绵状血管瘤的发病机制、临床特点及治疗。方法回顾性分析1例颅内海绵状血管瘤患儿的临床资料;并对相关文献进行复习。结果本例患儿在胎儿期(37周)时,其母B超产检发现胎儿颅内囊性占位。出生后5个月行手术切除治疗,术中病理检查示海绵状血管瘤。术后患儿恢复较好,随访1年未见明显异常。结论新生儿海绵状血管瘤的临床特点与其他年龄组患者有所不同,其更容易表现为出血、头颅径增大等,少有癫痫发作。提高产前诊断率,尽早行手术治疗对患儿的预后至关重要。Objective To investigate the pathogenesis,clinical features,treatment of intracranial cavernous hemangiomas during fetal and neonatal period. Methods The clinical data of intracranial cystic lesions in a 37-week fetus were analyzed retrospectively and the literatures were reviewed. Results Surgical resection,intraoperative pathology prompted cavernous hemangioma. Postoperative recovery was better,no significant ab-normalities were observed after 1 year of follow-up. Conclusions Fetal and neonatal cavernous hemangiomas are different from other age groups. It is more likely to be manifested as bleeding,increased cranial diameter,and few seizures. It is important for the treatment outcome to improve prenatal diagnosis rate and take surgical treatment at the right time.

关 键 词：新生儿 胎儿 脑血管畸形 海绵状血管瘤 

分 类 号：R732.2[医药卫生—肿瘤]