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Intracranial cavernous hemangiomas

SHI Jixin, WANG Handong, HANG Chunhua, et al. Department of Neurosurgery,Jinling Hospital, Nanjing 210002  
Objective Although there are the identical denomination for the intra axial and extra axial cavernous hemangiomas,there is much different between their clinical presentation,operative difficulty and prognosis.The purpose of this paper is to divide these tumors into different subgroups according to the clinical manifestations,intraoperative findings and pathological results. Methods twenty five patients with intracranial cavernous hemangiomas treated surgically from May 1981 to August 1997 in our hospital were analyzed were retrospectively. Results 25 patients were divided into 2 groups.Group I represents those cavernous hemangiomas located intra axially with the symptoms of headache,epilepsy could tumor bleeding.In this group,total removal of the tumors and the excellent postoperative results could be expected(n=15).Group II pointed to the tumors located extra axially with the presentation of headache and the dysfunction of the cranial nerves. This group was further divided into 2 subgroups designated as group IIa and Group IIb.Group IIa represents the patiented with intraoperative findings of the bluish red,very soft and visible pulsation of the tumor and the high risk of excessive bleeding(n=5).It was extremely difficult or even impossible to remove these tumors, completely.The tumors of group IIb appeared to be encapsulated with a layer of the pseudocapsule,and could be removed totally using the microneurosurgical techniques(n=5).Conclusions Detailed classification of the intracranial cavernous hemangiomas and management intraoperative.
【CateGory Index】: R739.4
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