非海绵窦区硬膜海绵状血管畸形2例报道并文献复习  

Diagnosis and treatment of dural-based cavernous hemangiomas outside the cavernous sinus:report of 2 caces and review of literature

作　　者：航盖 冯煜 谢天浩 宋健 徐国政 姚国杰 骆纯 HANG Gai;FENG Yu;XIE Tian-hao;SONG Jian;XU Guo-zheng;YAO Guo-jie;LUO Chun(Medical College,Wuhan University of Science and Technology,Wuhan 430065,China;Department of Neurosurgery,General Hospital of Central Theater Commmand,Wuhan 430070,China;Department of Neurosurgery,Changzheng Hospital,Second Military Medical University,Shanghai 200003,China)

机构地区：[1]武汉科技大学医学院,武汉430065 [2]中国人民解放军中部战区总医院神经外科,武汉430070 [3]中国人民解放军海军军医大学附属长征医院神经外科,上海200003

出　　处：《中国临床神经外科杂志》2022年第8期656-658,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨非海绵窦区硬脑膜海绵状血管畸形的影像学特点、诊断及治疗。方法回顾性分析2例经术后病理证实的非海绵窦区硬脑膜海绵状血管畸形的临床资料,结合相关文献进行分析。结果1例术前考虑大脑镰旁脑膜瘤,另1例术前考虑左侧横窦及天幕脑膜瘤。2例病灶均全切除,术后病理均证实为硬脑膜海绵状血管畸形,术后均恢复良好,未出现手术并发症,无需放疗等后续治疗。术后随访1年以上无复发。结论非海绵窦区硬膜海绵状血管畸形极少见,容易误诊为脑膜瘤。手术切除时,应先阻断肿瘤位于硬膜或静脉窦的肿瘤基底,并尽量整块切除,否则可能遭遇汹涌的出血。该类疾病手术往往可安全有效的全切除病变,预后良好。Objective To investigate the imaging features,diagnosis and treatment of dural-based cavernous malformations outside the cavernous sinus.Methods The clinical data of 2 patientss with dural-based cavernous malformations outside the cavernous sinus were retrospectively analyzed,and the related literatures were reviewed.Results One patient was diagnozed as parafalcine meningioma and the other one was diagnozed as left transverse sinus and tentorial meningioma before operation.Both lesions were completely resected,and postoperative pathological examination was confirmed as dural-based cavernous malformation.Both patients recovered well after surgery without surgical complications.The follow up(more than 1 year) showed no recurrence.Conclusions The dural-based cavernous malformations outside the cavernous sinus are very rare,and they are easy to be misdiagnosed as meningioma before operation.During surgical resection,the tumor base located in the dura or venous sinus should be blocked first,and an en bloc resection should be done as much as possible in order to reduce heavy hemorrhage.Surgery is often safe and effective in total resection with good prognosis for the patients with dural-based cavernous malformations outside the cavernous sinus.

关 键 词：海绵状血管畸形 硬脑膜 非海绵窦区 显微手术 疗效 

分 类 号：R739.41[医药卫生—肿瘤] R651.11[医药卫生—临床医学]