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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
[Microsurgical treatment regimens of cavernous sinus hemangioma]
Li Bie1, Qian Tong, Hong-quan Yu
1Department of Neurosurgery, First Hospital, Jilin University, Changchun 130021, China.
Objective:
To analyze the microsurgical treatment regimens of cavernous sinus hemangioma.
Methods:
The microsurgical experiences were reviewed and analyzed for 17 cases of operatively and pathologically confirmed cavernous sinus cavernous hemangioma at our hospital from January 2008 to January 2012. There were 6 males and 11 females with an average age of 48.5 years.
Results:
Among them, there were total (n = 14) and subtotal (n = 3) resection. And there was no occurrence of postoperative mortality. According to the results of imaging follow-up, total resection cases had no recurrence while subtotal residual tumor was progression-free after radiotherapy. Oculomotor, abducens and trigeminal nerves retained varying degrees of neurological function at 3-6 months postoperation.
Conclusion:
Based on the size of tumor and growth direction, appropriate surgical approaches may be selected. And a combination of skilled microsurgical techniques and proper resection may reduce bleeding and facilitate total tumor removal so as to reduce the degree of neurological deficits and improve the long-term postoperative quality-of-life.
