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首页> 外文期刊>European spine journal >Clinical and radiological presentation of spinal epidural haemangiomas: clinical series in a tertiary care centre during a 10-year period
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Clinical and radiological presentation of spinal epidural haemangiomas: clinical series in a tertiary care centre during a 10-year period

机译：脊柱硬膜外血管瘤的临床和影像学表现：三级护理中心在10年期间的临床系列

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Purpose Haemangiomas are very frequent benign spinal tumours. However, pure epidural location is extremely rare. At present, only 52 cases have been reported in the literature during the last 10?years. We proposed to analyse clinical and radiological features of this rare entity treated in a tertiary care centre over the last 10?years. MethodsA study of a retrospective surgical series (2002–2012) was conducted. The clinic’s electronic database was searched for “spinal” and/or “vertebral haemangiomas”, which were treated by surgery and/or vertebroplasty. Clinical, radiological and histopathological data were analysed.ResultsIn total, the series comprised 30 spinal haemangiomas. There were 6 epidural (20?%), 17 vertebral (57?%) and 7 intradural lesions (23?%). There were four men and two women, mean age 28.3?years, with epidural lesions. One patient presented with localised back pain only, two with radiculopathy and focal neurological deficit, two with radiculopathy only and one with isolated focal neurological deficit, respectively. The onset of symptoms was progressive in four cases over weeks to months and sudden in two cases. Preoperative MRI imaging revealed features of meningioma, neurinoma or metastasis.ConclusionEpidural haemangiomas are extremely rare spinal lesions. They may mimic more common spinal tumours clinically and radiologically. The usual treatment is gross total resection confirming the diagnosis histologically...
机译：目的血管瘤是非常常见的良性脊柱肿瘤。但是，纯硬膜外腔极少见。在过去的10年中，目前只有52例文献报道。我们建议分析最近10年来在三级医疗中心接受治疗的这种罕见实体的临床和放射学特征。方法对一项回顾性外科手术系列研究（2002-2012年）进行了研究。在诊所的电子数据库中搜索了“脊柱”和/或“脊椎血管瘤”，并通过手术和/或椎体成形术对其进行了治疗。结果：该系列共包括30例脊髓型血管瘤。硬膜外有6个（20％），椎骨有17个（57％）和7个硬膜内病变（23％）。有4名男性和2名女性，平均年龄28.3岁，有硬膜外病变。一名患者仅表现出局部性背痛，两名患有神经根病和局灶性神经功能缺损，两名仅表现为神经根病和一名患有孤立的局灶性神经功能缺损。症状发作在数周至数月内有4例进展，有2例突然发作。术前MRI表现为脑膜瘤，神经瘤或转移灶。结论硬膜外血管瘤是极为罕见的脊柱病变。它们可以在临床和放射学上模仿更常见的脊柱肿瘤。常规治疗是大体全切除术，从组织学上确认诊断。

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