Cavernous angiomas of the spinal cord

　　1. The实质of cavernous hemangioma is a malformation vascular cluster. The feeding artery and draining vein of the vascular cluster are normal caliber vessels. The blood flow in the tumor is slow, so angiography cannot be displayed. The blood stasis in the lesion of the malformation vascular cluster is also the cause of thrombosis and calcification in the malformation vessels. The appearance of the lesion is purple-red, with a surface that is like a mulberry ball and a section that is spongy or honeycomb-like. The vascular wall is composed of a single layer of endothelial cells, without a muscular layer and elastic layer. The lumen is filled with blood and may contain fresh or old thrombi; the tissue between the abnormal vessels is loose fibrous connective tissue, and there are no or very few brain parenchymal tissues between the vessels.

　　2. The texture of the tumor can be soft or hard, which is related to the blood content, calcification degree, and thrombus size in the malformation vascular cluster. The surrounding brain tissue has gliosis and yellow ferritin deposition. This ferritin is one of the causes of epilepsy in patients with cerebral cortical cavernous hemangioma.

　　3. Cavernous hemangiomas can occur at any part of the central nervous system, such as the cerebral cortex, basal ganglia, and brainstem (intracranial lesions), as well as the middle cranial fossa bottom, retina, and skull (extracranial lesions). About 19% of cases are multiple lesions. Patients with multiple cavernous hemangiomas often have vascular tumor lesions in other organs of the body. The size of the tumor varies, and the size and location of the tumor are directly related to the clinical manifestations. The size of the tumor ranges from 0.5 to 6 cm.

　　4. The lesions reported in China are often located in the middle cranial fossa extracranial dura, accounting for 70% to 80%, and a small number are located within the brain. Abroad, the most common lesions within the brain often have a tendency to spontaneously hemorrhage repeatedly in small amounts. Iron-containing pigment deposition and calcification points are often found in the tumor. Lesions outside the brain are often dominated by mass effect.

　　1, Located at:Face, if the cavernous hemangioma grows on the face, it will have a serious impact on the appearance, and severe patients may cause facial deformity.

　　2, Located at:Neck and throat, if located in the neck and throat, it will be easy to ulcerate due to eating, and in severe cases, it may threaten the patient's life safety.

　　3, Located at:In terms of organ function, if the location is in the functional part of the patient's organ, such as the tongue, eye, toes, fingers, penis, clitoris, and joints, it will cause dysfunction of these parts.

　　The average age of patients with this disease is 35 years old. Patients may have acute neurological dysfunction, which is mostly related to subarachnoid hemorrhage. Due to the acute or chronic expansion of blood vessels, when the volume reaches a certain degree, it may rupture and cause hemorrhage. Progressive neurological dysfunction may also occur. Due to the repeated occurrence of hemorrhage, the symptoms of neurological dysfunction may last for several days.

　　1. Cavernous angioma should be prevented from collision and scratching, and attention should be paid to keeping the local area dry and clean to prevent infection. For those on the limbs, it is necessary to avoid prolonged standing and strong physical labor, and pay attention to rest. The diet should be light, and elastic bandages or elastic stockings can be used when necessary; for those occurring in the oral cavity, it is necessary to eat less hard food to prevent scratching and bleeding, and food should not be too hot or spicy to prevent ulceration and ulcer formation.

　　1. A large number of clinical studies and treatments have shown that the diet of cavernous angioma patients should be light, avoid smoking and drinking, spicy and stimulating foods, such as rooster, crucian carp, seafood, shrimp, lamb, dog meat, and other irritant foods; control high-fat diet and low-fiber food; try to eat less fried, smoked, and preserved food; drink more yogurt, mushroom soup, kelp soup, and yellow croaker soup, etc.

　　Cavernous angioma has characteristic manifestations in MRI images, showing a mixed signal intensity center in T1 and T2 weighted images. In T1 weighted images, it can be seen that this center is surrounded by a low density (hemosiderin) ring. For patients with fluctuating symptoms, continuous magnetic resonance imaging can show changes in the volume of the lesion. If necessary, myelography can be performed to diagnose the disease and differentiate it from other types of vascular malformations.

　　What kind of food is good for the body for cavernous angioma of the spinal cord:

　　It is advisable to eat light and eat more vegetables and fruits, supplement vitamins, reasonably match the diet, and pay attention to nutritional balance. The diet of patients should be light and easy to digest, eat more vegetables and fruits, reasonably match the diet, and pay attention to sufficient nutrition. In addition, patients should also pay attention to avoiding spicy, greasy, and cold foods.

　　There is no special treatment needed for cavernous angioma without spinal cord symptoms. For those with symptoms, especially for cases with recurrent neurological deterioration due to hemorrhage, it is generally recommended to perform surgical treatment, and most of the cavernous angiomas of the spinal cord can be safely resected. Bipolar coagulation devices and ultrasonic aspirators may be used during the operation. Local hematoma can be removed at the same time.