[Minimally invasive surgery of the spinal cord hemangioblastoma].
OBJECTIVE
To clarify and discuss the diagnosis and minimally invasive surgery of spinal cord hemangioblastoma.


METHODS
The clinical data of 16 patients with spinal cord hemangioblastoma who were operated on between 1992 and 2001 were analyzed retrospectively with a review of the literature.


RESULTS
Twelve patients were subjected to MRI examination, nine to spinal cord angiography, and six to preoperative embolization. Thirteen patients underwent complete excision, and three underwent partial excision due to massive bleeding and anterior location of the tumor in spinal cord. Eleven patients showed improvement of their symptoms, four no change at all, and tumor recurrence was seen in one patient with aggravation.


CONCLUSIONS
MRI and spinal angiography are essential for preoperative diagnosis and surgical planning. Early diagnosis and microsurgical resection greatly preserve the neurological function of the patients. Preoperative embolization sometimes is helpful in surgery.
Wang
Xing-wen
XW
Department of Neurosurgery, Beijing Hospital, Beijing 100730, China.
Jian
Feng-zeng
FZ
Yuan
Qing-guo
QG
Wang
Da-ming
DM
D000293:Adolescent; D000328:Adult; D000792:Angiography; D005260:Female; D018325:Hemangioblastoma / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D019635:Neurosurgical Procedures / Q000379:methods; D013116:Spinal Cord / Q000098:blood supply; D013120:Spinal Cord Neoplasms / Q000175:diagnosis / Q000601:surgery*