脑面血管瘤病的影像特征和手术治疗

山东大学学报(医学版) ›› 2012, Vol. 50 ›› Issue (5): 95-.

脑面血管瘤病的影像特征和手术治疗

魏胜程1，王志刚1，曲春城1，滕良珠2

山东大学 1. 第二医院神经外科，济南 250033；2. 附属省立医院神经外科，济南 250021

收稿日期:2011-12-20 出版日期:2012-05-10 发布日期:2012-05-10
通讯作者: 滕良珠，男，主任医师，博士生导师，主要从事颅内肿瘤及脑血管病的手术治疗研究。E-mail: tenglz@126.com
作者简介:魏胜程（1977- ），男，主治医师，博士研究生，主要从事颅内肿瘤及功能神经外科的研究

Imaging characteristics and surgical treatment of Sturge-Weber syndrome

WEI Sheng-cheng1, WANG Zhi-gang1, QU Chun-cheng1, TENG Liang-zhu2

1.Department of Neurosurgery, The Second Hospital of Shandong University, Jinan 250033, China；
2. Department of Neurosurgery, Provincial Hospital Affiliated to Shandong University, Jinan 250021, China

Received:2011-12-20 Online:2012-05-10 Published:2012-05-10

摘要/Abstract

摘要：

目的总结脑面血管瘤病的治疗经验,探讨其影像学特征及手术治疗要点。方法回顾分析2009年以来手术治疗的脑面血管瘤病（Ⅰ型）患者3例（男2例，女1例），术前行CT、MRI及视频脑电图检查，手术切除病灶后随访1~2年评估疗效。结果 3例患者CT均显示钙化，强化MRI扫描显示硬脑膜和蛛网膜血管扩张、增生，脑组织萎缩，可明确病灶范围。手术疗效：颞枕叶切除2例，半球切除1例，术后均无癫痫发作。结论结合患者临床表现及CT、MRI检查可基本确诊脑面血管瘤病，对有癫痫发作的患者应早期接受手术治疗，术前和术中行脑电监测，在不增加功能损伤的前提下完全切除病灶可治疗癫痫发作。

关键词: 脑面血管瘤病；癫痫；手术；影像学

Abstract:

Objective To analyze imaging findings and surgical therapy of Sturge-Weber syndrome, and to explore the effectiveness of multi-lobectomy for Sturge-Weber syndrome. Methods The data of 3 Sturge-Weber syndrome patients (type I, 2 males and 1 female) were analyzed. Before surgery, all patients underwent CT and MRI scan and VEEG test and after surgery, they were followed up for 1 to 2 years. Results In CT scans, the 3 patients manifested calcification in brain tissue. Abnormal blood vessels and cerebral atrophy were displayed in MRI imaging, and the disease area could be determined. 2 patients accepted tempro-occipital craniotomy, and the other patient accepted hemispherectomy. After 1 to 2 years follow-up, all patients had epilepsy release. Conclusion Sturge-Weber syndrome can be determined by combining clinical manifestation and CT/MRI imaging. Surgical therapy should be taken as early as possible in patients with epilepsy. The total removal of lesions without adding functional deficiency can release the epilepsy seizure of SturgeWeber syndrome.

Key words: Sturge-Weber syndrome; Epilepsy; Surgical treatment; Imaging

中图分类号:

R651

魏胜程1，王志刚1，曲春城1，滕良珠2 . 脑面血管瘤病的影像特征和手术治疗[J]. 山东大学学报(医学版), 2012, 50(5): 95-.

WEI Sheng-cheng1, WANG Zhi-gang1, QU Chun-cheng1, TENG Liang-zhu2. Imaging characteristics and surgical treatment of Sturge-Weber syndrome[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2012, 50(5): 95-.

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