Evidence map›Paper›PMID 37534647›Full record

ArticleBeijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences2023

[Prognosis of patients with spinal intramedullary cavernous hemangioma by different treatments].

B Chen, C Wu, B Liu, T Yu, Z Y Wang

Open access · greenAbstract readEnglish Abstract
In one paragraph

Article in Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

B ChenDepartment of Neurosurgery, Peking University Third Hospital, Beijing 100191, China.
C WuDepartment of Neurosurgery, Peking University Third Hospital, Beijing 100191, China.
B LiuDepartment of Neurosurgery, Peking University Third Hospital, Beijing 100191, China.
T YuDepartment of Neurosurgery, Peking University Third Hospital, Beijing 100191, China.
Z Y WangDepartment of Neurosurgery, Peking University Third Hospital, Beijing 100191, China.
Peking University Third Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the improvement of spinal cord function in patients with spinal intramedullary cavernous hemangioma (SICH) treated with different methods at the last follow-up.

methodsA retrospective study of 30 patients with SICH in Peking University Third Hospital from January 2007 to December 2018 was conducted. Clinical data of 30 patients were collected including gender, age, clinical symptoms, and imaging manifestations were acquired from their clinical records. Spinal functions of the patients with SICH were evaluated by European myelopathy score (EMS). The functional status of the spinal cord before and after the last follow-up were analyzed.

resultsAmong the 30 patients, there were 14 male patients and 16 female patients (1 ∶ 1.14). The average age of the patients was (48.1±13.6) years (18-81 years). In the study, 3 cases were sensory disturbance; 2 cases manifested with only decreased muscle strength; 1 case showed simple pain; 1 case manifested with decreased muscle strength and pain; Sensory disturbance accompanied by decreased muscle strength occurred in 5 cases; 3 cases suffered from both sensory disturbance, decreased muscle strength and abnormal defecation; 3 cases suffered from sensory disturbance, decreased muscle strength and pain; 8 cases showed sensory disturbance and pain; 1 case had sensory disturbance, pain and abnormal defecation; 1 case had sensory disturbance, pain, decreased muscle strength and abnormal defecation; 2 cases were asymptomatic. There were 11 patients whose lesions were located in the cervical region, 2 patients located at the cervical-thoracic region, 15 patients located in the thoracic region, and 2 patients located in the lumbar spine. The average maximum diameter of hemangioma was (10.90±4.87) mm. Their magnetic resonance imaging (MRI) features were usually mixed signal and high signal on T2WI, and equal signal or mixed signal on T1WI. A total of 30 patients were followed up for (27.4±8.7) months, including 19 patients with surgical treatment and 11 patients with conservative treatment. The spinal cord function at the last follow up in surgical group was significantly improved. The difference was statistically significant (

conclusionThe surgical treatment of SICH has obvious positive effect and good prognosis. The overall improvement rate of conservative treatment is relatively low with a risk of aggravation.

Indexed as

Hemangioma, CavernousAdultFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedPainPrognosisRetrospective StudiesTreatment OutcomeConservative treatmentEuropean myelopathy scoreSpinal intramedullary cavernous hemangiomaSurgical treatment

Identifiers

PMID37534647
PMCPMC10398754
OpenAlexW4385515019

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