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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
[Diagnosis and treatment of spinal cord cavernous angioma]
Yongzhi Shan1, Feng Ling, Meng Li
1Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China.
Objective:
To investigate the diagnosis and treatment of patients with spinal cord cavernous angioma.
Methods:
Clinical data on 23 patients with intramedually cavernous angiomas were analyzed. The function of the spinal cord was evaluated before and after treatment using the Aminoff & Logue scale.
Results:
All patients underwent resection of spinal cord cavernous angioma except two patients who refused surgical treatment. Complete removal was achieved in 18 patients, and subtotal removal in 3. Twenty-one patients with spinal cavernous angioma were confirmed pathologically. The postoperative neurological status was improved in 15 patients, remained unchanged in 4, and aggravated in 2. No deaths occurred.
Conclusions:
MRI is specific in diagnosis of intramedually cavernous angioma. The outcome of surgical treatment is better. Surgical treatment is suitable for patients with symptoms.
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