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作者报告二例左半球中央区巨大脑血管畸形全切除术近远期效果。一例为儿童,一例为成人,二例手术后当时损伤性体征均轻微。儿童例术前有偏瘫,术后一个月下肢基本恢复;成人例术后无偏瘫,全切除术较二年前供血动脉结扎反应还轻。二例术后病程均不顺利:儿童例术后感染高热半个月,成人例术后第6天并发脑内及硬脑膜外血肿,再次手术,后遗偏瘫失语。成人例随访五年,偏瘫、失语已完全消失且恢复工作;儿童例随访8年,偏瘫已痊
The authors report two cases of left hemisphere central giant cerebral vascular malformations near and far effect. One was a child, one was an adult, and the other two were slightly damaged after surgery. Children with hemiplegia before surgery, one month after the basic recovery of lower limbs; adult cases without hemiplegia after surgery, total resection than two years ago, the feeding artery ligation reaction is also light. Two cases of postoperative course are not smooth: children were infected with fever for half a month after surgery, adult cases of intracerebral and epidural hematoma on the 6th day after surgery, reoperation, paralysis after paralysis aphasia. Adult cases were followed for five years, hemiparesis, aphasia has completely disappeared and resumed work; children were followed up for 8 years, hemiplegia has recovered