【摘要】 目的探讨儿童幕上海绵状血管瘤(CA)的临床特点,治疗和预后。方法采用回顾分析的方法,对1994—2003年收治的25例儿童幕上海绵状血管瘤的临床资料进行分析,比较术前癫痫病程与预后的关系。结果有14例患儿首发症状为癫痫,全部手术切除,8例术前癫痫病程小于1年者术后癫痫均消失;6例癫痫病程大于1年者术后有3例癫痫消失。11例患儿首发症状为出血及其所致神经系统功能受累,10例手术切除,术后无原病变部位再出血,无癫痫发作。结论手术切除儿童幕上CA可很好地控制术后再出血和癫痫的发生,发现癫痫发作后尽早手术可提高术后癫痫控制率。更多还原

【Abstract】 Objective To discuss the clinical features, treatment, and prognosis of supratentorial cavernous angiomas in children. Methods The clinical data of 25 pediatric patients with supratentorial cavernous angioma, 17 boys and 6 girls, aged 9.6 (1~15), were reviewed retrospectively, and the relationship between the duration of epilepsy before surgery and prognosis was analyzed. Results The 14 patients with preoperative seizures underwent surgery. All (8/8)of the patients suffering from preoperative seizures with an history of less than one year were seizure free after operation, while only half (3/6) of the patients with an history suffering from preoperative seizures with an history of more than one year were seizure free after operation. Ten of the 11 patients with hemorrhage and hemorrhage-related neurological symptoms as the initial symptoms underwent surgery, and no symptoms of re-bleeding and seizure occurred postoperatively. Conclusion Craniotomy for lesionectomy results in good seizure control and re-bleeding avoidance. Better results with regard to seizure control are associated with shorter duration of symptoms before surgery.更多还原