Treatment strategies and techniques of brainstem cavernous malformations

doi:10.3877/cma.j.issn.2095-9141.2016.05.009

Abstract

Abstract:

Repeated hemorrhage is one of the characteristics of brainstem cavernous hemangioma, resulting in containing hemosiderin and glial like variable scope around the lesion expanded, tumor increased gradually like snowball. Remove the lesion completely and safely can cure the disease and avoid tumor enlargement or recurrent hemorrhage in the tumor. However, brainstem is full of small nuclei and up and down nerve fiber bundle, and the operation is very risky and challenging. This article focuses on purpose and principles, surgical techniques and recent advances, therapeutic effect of BSCM, in order to guide the clinical operation, which is essential for the safety of resection of lesions and decrease of bleeding risk.

Key words: Brainstem, Cavernous hemangioma, Tumour

Lihua Chen, Ruxiang Xu. Treatment strategies and techniques of brainstem cavernous malformations[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2016, 02(05): 296-301.

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References 44

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作者	年份	例数	功能改善或稳定	死亡率
Steinberg等	2000	42	95.0%	0（0/42）
Bertalanffy等	2002	24	92.0%	0（0/24）
Wang等	2003	137	72.0%	0（0/137）
Ferroli等	2005	52	80.8%	2%（1/52）
Li等	2009	37	94.6%	0（0/37）
Gross等	2009	745	85.0%	1.9%
Ohue等	2010	36	92.0%	0（0/36）
Gross等	2013	1 390	84.0%	1.5%（21/1390）
Chen等	2014	38	94.7%	0（0/38）
Garcia等	2015	104	85.6%	0.96%（1/104）

作者	年份	例数	功能改善或稳定	死亡率
Steinberg等	2000	42	95.0%	0（0/42）
Bertalanffy等	2002	24	92.0%	0（0/24）
Wang等	2003	137	72.0%	0（0/137）
Ferroli等	2005	52	80.8%	2%（1/52）
Li等	2009	37	94.6%	0（0/37）
Gross等	2009	745	85.0%	1.9%
Ohue等	2010	36	92.0%	0（0/36）
Gross等	2013	1 390	84.0%	1.5%（21/1390）
Chen等	2014	38	94.7%	0（0/38）
Garcia等	2015	104	85.6%	0.96%（1/104）

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