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[Treatment of spinal cord hemangioblastoma by microoperations combined with embolization]
Yu-ming Yang1, Da-ming Wang, Hong-zhi Jiang
1Department of Neurosurgery, Beijing Hospital, Beijing 100730, China.
Objective:
To investigate the effects of microoperations combined with embolization in treatment of spinal cord hemangioblastoma.
Methods:
Thirty-six patients with spinal cord hemangioblastoma, 21 males and 15 females, aged 24.2 (12-48), underwent MRI and digital abstraction angiography. Twelve of them underwent pure microsurgical treatment and 24 of them underwent operation combined with remobilization.
Results:
MRI showed clear boundary mass, and DSA showed round or oval high density images with clear boundary and definite supplying artery. 30 cases had their tumors totally removed; and 6 cases had their tumors subtotally removed. Complete functional recovery was seen in 27 of the 36 patients (67%). Four patients resumed their self-care ability,and 4 still needed someone's help.
Conclusion:
Embolization lowers the blood supply of the spinal cord hemangioblastoma, elevates the cure rate, and enlarges the indication of spinal cord hemangioblastoma operation.
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