Microsurgery combined with neuroelectrophysiological monitoring for intramedullary spinal cord cavernous angiomas
GONG Shu-hui
HUANG Si-qing
LIU Jia-gang
CHEN Hai-feng
Abstract：Objective To investigate treatment of intramedullary spinal cord cavernous angiomas (IMSCCA) by microsurgery combined with neuroelectrophysiological monitoring and its curative effect on IMSCCA. Methods The clinical data of 25 patients with IMSCCA proved by pathological examination, of whom, 12 were male and 13 female, were analyzed retrospectively. The preoperative and postoperative MRI examinations were performed in all the patients, in whom microsurgery was performed under neuroelectrophysiolo-gical monitoring. The preoperative and postoperative neurological functions were assessed by Frankel grading. Results All the patients were followed up from 6 months to 5 years (mean, 2.3 years). The clinical symptoms were improved in 18 (72%, 18/25), unchanged in 4 (16%, 4/25) and worsened in 3 (12%, 3/25) according to Frankel grading. Conclusions MRI is the best method to diagnose the IMSCCA before the surgery. The surgery is only a method to treat IMSCCA at present. The safety of microsurgery for IMSCCA and the curative effect of microsurgery on IMSCCA may be enhanced by neuroelectrophysiological monitoring.
Keywords：Intramedullary spinal cord cavernous angiomasMicrosurgeryNeuroelectrophysiological monitoringCurative effect
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 513-515 )