小脑脑桥角海绵状血管畸形三例并文献复习
于金录;曲丽梅;李叶;王柏;王宏磊
【期刊名称】《中华神经外科杂志》 【年(卷),期】2011(027)006
【摘要】Objective To investigate the clinical presentation,imaging features and treatment experience of cystic cavernous malformations (CMs) in the cerebellopontine angle (CPA).Methods Three patients with the CMs of the CPA between 2005 and 2010 in our institute were summarised.Five patients from MEDLINE search of the English literature from 1985 to 2010 for CMs of the CPA were identified.We reviewed the characteristics of these 5 cases and our cases.Results Their presenting symptoms of 5 cases in the literature included headache,injury of cranial nerves in the CPA and cerebellar symptoms.But they did not show signs of brain stem compression.MRI and/or CT scans showed that the lesions in the eight cases of CMs all had solid and cystic components,and no adhesion with internal auditory canal and skull base dura mater was present in the CPA.Despite the fact that cystic CMs also involved cranial nerves,cerebellum,brainstem and arteries,they could be separated from these surrounding structures thanked to the presence of well - margined adhesion,which was contrary to solid CMs.We reported three cystic CMs of the CPA in our institute that was the same as the above.Conclusion Although cystic CMs of the CPA had no established