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[经外侧入路治疗髓外、硬脊膜内C1-C2段脑膜瘤]

[Lateral approach to an extramedullary, intrameningeal C1-C2 meningioma].

作者信息

Baranowski Paweł, Rzeźnicki Jan

机构信息

Oddziału Neuroortopedii Centrum Rehabilitacji im. Mariana Weissa w Konstancinie.

出版信息

Neurol Neurochir Pol. 2002 Jul-Aug;36(4):815-20.

Abstract

This article describes an innovative approach to the excision of extramedullary meningioma located in the vicinity of the cranio-cervical junction, a tumour very rarely encountered in clinical practice. The primary innovation consists in the use of the lateral approach, with the addition of partial resection of the lateral mass of Cl. The authors present the case of a patient with a meningioma located at the level of the dens of the epistropheus, on the anterior surface of the spinal cord. The lateral approach used in this case allowed for complete resection of the tumour with minimum operative risk, and the patient's recovery has been excellent.

摘要

本文描述了一种切除位于颅颈交界处附近的髓外脑膜瘤的创新方法,这种肿瘤在临床实践中很少见。主要创新在于采用外侧入路,并附加切除第一颈椎侧块的部分骨质。作者介绍了一例患者,其脑膜瘤位于寰椎齿突水平、脊髓前表面。该病例中使用的外侧入路使肿瘤得以完整切除,手术风险降至最低,患者恢复情况良好。

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