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颅内海绵状血管瘤(CA)过去认为较少见,MRI的进展大大提高了CA的发现和正确诊断罕,近年来有关CA临床病程和治疗效果的文章逐渐增多,对于CA是否适合立体定向放射外科治疗(SRS)争议很大.本文试加以综述.1 病例选择自1983年Steinberg开始用放射外科治疗CA,到目前为止Kondziolka报道例数最多.两组共82例,病灶主要分布在脑干(46),丘脑内囊(18)和基底节(6),共70例,其它病灶位于大脑半球深部,语言运动区或桥小脑角.病例选择按下列条件:①均有出血的临床病史和影像学证实;②大多数病例有2次或以上的出血史;③病灶所处
Intracranial cavernous hemangioma (CA) was previously thought to be rare, and the development of MRI has greatly improved the discovery and correct diagnosis of CA. In recent years, there have been more articles on the clinical course and therapeutic effects of CA, and whether CA is suitable for stereotactic radiation Surgical treatment (SRS) is highly controversial. This article is a review.1 Case selection Steinberg began radiosurgery for CA in 1983. The number of cases reported so far by Kondziolka is the highest. There are 82 cases in both groups, and the lesions are mainly distributed in the brain stem ( 46) There are 70 cases of thalamic intramedullary sac (18) and basal ganglia (6). Other lesions are located in deep cerebral hemispheres, speech regions, or cerebellopontine angles. Case selection is based on the following conditions: 1 Clinical history and imaging with bleeding. Study confirmed; 2 most cases have 2 or more bleeding history; 3 lesions are located