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Diagnosis and Treatment of Intracranial Cavernous Hemangioma:a Report of 86 Cases

Chinese Journal of Clinical Oncology 2008年第4期5卷 281-285页

作者： Liyue Zhao Bosheng Dou Yushan Yang Department of Neurosurgery Xiqing Hospital Tianjin 300380 China. Department of Neurosurgery Tianjin Huanhu Hospital Tianjin 300060 China.

OBJECTIVE To summarize and analyze the clinical manifestations features of imaging diagnosis,and therapeutic efficacy of surgical treatment for intracranial cavernous hemangioma(CH). METHODS Data from 86 cases with intracranial CH from the Department of Neurosurgery of Tianjin Huanhu Hospital,Tianjin, China,during a period from 2000 to 2007,were retrospectively analyzed,and pertinent literature cited. RESULTS Epilepsy,headache,dizziness,sensory disability and limb-kinetic apraxia were the most commonly seen clinical manifestations of the intracranial CH *** was one of the preferred ways to diagnose *** 86 patients were treated with microsurgery.among which neuronavigator-guided surgery was conducted in 16,a second surgical procedure was performed in 3 due to a postoperative intracranial hematoma,and death occurred in *** the other 85 patients had a good prognosis. CONCLUSION MRI was the most sensitive diagnostic means for intracranial *** was the main method to treat intracranial CH.

关键词： cavernous hemangioma CT MRI microsurgery.

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Microsurgical Treatment of Meningiomas Invading the Sagittal or Transverse Sinuses

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Chinese Journal of Clinical Oncology 2007年第4期4卷 250-254页

作者： PengWang Peng Li Chunhua She Yingzhe Piao Xiaoguang Wang Wenliang Li Key Laboratory of Cancer Prevention and Therapy Tianjin 300060 China. Department of Neurosurgery/Neuro-oncology Tianjin Medical University Cancer Institute ＆ Hospital Tianjin 300060 China.

OBJECTIVE To analyze our management strategy and results of treating patients affected by meningiomas invading the sagittal or transverse sinuses.METHOOS Review of data from 35 patients with pathologically confirmed meningiomas（29 of the sagittal sinus and 6 of the transverse sinus） surgically treated between from July 1999 and June 2003, including clinical manifestations, mode of diagnosis and curative effect of microsurgery.etc. For our surgical decision-making, meningiomas were classified into six types based on the degree of sinus involvement.RESULTS A Simpson＇s Grade Ⅰ resection was achieved in 27 cases （77.1%）, Grade Ⅱ in 6 （17.1%） and Grade Ⅲ in 2 （5.7%）. No patients died after the operations. The recurrence rate in the study overall was 2.9%, with a follow-up period from 3 to 6 years.CONCLUSION Application of microsurgical techniques, protection of the sinus, avoidance of damages to the cerebral cortex, veins of the central sulcus, as well as other veins from the tumor, are the major factors for increasing the rate of total resection, reducing complications and improving the quality of life for the patients with meningiomas invading the sagittal or transverse sinuses.

关键词： sagittal sinus transverse sinuses meningioma microsurgery.

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