de los Reyes R A, Kantrowitz A B, Detwiler P W, Feghale J G, Hall C D, Sonstein W J
Department of Neurosurgery, Albert Einstein College of Medicine, New York, New York.
Surg Neurol. 1992 Nov;38(5):379-82. doi: 10.1016/0090-3019(92)90025-i.
The authors discuss the choice of the transoral-transclival approach for the repair of a lower basilar artery aneurysm in a 32-year-old sickle-cell patient. Efficiency of approach and minimization of damage to vital structures support the use of this technique. The risks of cerebrospinal fluid fistula and meningitis are considered. One year after operation, the patient is neurologically intact.
作者讨论了一名32岁镰状细胞病患者采用经口-经斜坡入路修复基底动脉下段动脉瘤的选择。该入路的有效性以及对重要结构损伤的最小化支持了这项技术的应用。同时考虑了脑脊液漏和脑膜炎的风险。术后一年,患者神经功能完好。