https://scholars.lib.ntu.edu.tw/handle/123456789/475964
標題: | Brain stem cavernous malformations | 作者: | ABEL PO-HAO HUANG Chen J.-S. Yang C.-C. KUO-CHUAN WANG SHIH-HUNG YANG DAR-MING LAI YONG-KWANG TU |
公開日期: | 2010 | 卷: | 17 | 期: | 1 | 起(迄)頁: | 74-79 | 來源出版物: | Journal of Clinical Neuroscience | 摘要: | We retrospectively reviewed the clinical experience of 30 patients with brain stem cavernous malformations (BSCM) treated operatively and non-operatively at our hospital between 1983 and 2005 to elucidate the natural history of BSCM and the factors that affect surgical outcome. Inpatient charts, imaging studies, operative records, and follow-up results were evaluated. The average follow up was 48.5 months. Twenty-two patients (73.3%) received surgical extirpation and of these 86.4% improved or stabilized and 13.6% deteriorated with permanent or severe morbidity. There was no mortality. Size, preoperative status, and surgical timing were factors related to surgical outcome. In the non-operative group, 50% of the patients were the same or better, 25% deteriorated, and 25% died. With appropriate patient selection, resection of BSCM can be achieved with acceptable morbidity compared with the ominous natural history of these lesions. ? 2009 Elsevier Ltd. All rights reserved. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-72449165030&doi=10.1016%2fj.jocn.2009.06.009&partnerID=40&md5=5c6259c6d1f8c50c21923c67072d0cbb https://scholars.lib.ntu.edu.tw/handle/123456789/475964 |
ISSN: | 0967-5868 | DOI: | 10.1016/j.jocn.2009.06.009 | SDG/關鍵字: | adolescent; adult; aged; article; brain malformation; brain stem cavernous malformation; brain surgery; child; clinical article; disease severity; female; follow up; human; male; medical record review; morbidity; patient selection; postoperative complication; priority journal; risk factor; school child; surgical approach; surgical mortality; treatment outcome; Adolescent; Adult; Aged; Brain Stem; Brain Stem Infarctions; Brain Stem Neoplasms; Cerebral Arteries; Cerebral Veins; Child; Female; Hemangioma, Cavernous, Central Nervous System; Humans; Intracranial Hemorrhages; Male; Middle Aged; Neoplasm Recurrence, Local; Neurosurgical Procedures; Outcome Assessment (Health Care); Postoperative Hemorrhage; Retrospective Studies; Treatment Outcome; Young Adult |
顯示於: | 醫學系 |
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