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[前、中颅窝底脑膜瘤手术治疗中颈内动脉的术前栓塞]

[Preoperative embolization of the internal carotid artery in surgical treatment of meningioma in the base of the anterior and middle cranial fossae].

作者信息

Arustamian S R, Konovalov A N, Makhmudov U B, Shimanskiĭ V N, Taniashin S V, Edneva Ia N, Dedegkaev A V

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 2003 Oct-Dec(4):37-9.

Abstract

Preoperative embolization is a widely used technique that may decrease blood supply to rich-vascurized tumors of the brain. Its use allows a neurosurgeon to safely remove a tumor of different histological nature and site. The objects of preoperative embolization are most commonly meningiomas at convexital or parasagittal sites. According to the data available in the literature, the internal carotid or ocular artery was embolized in not more than 10 cases. The described case underwent successful embolization of the involved internal carotid whose branches took an active part in supplying blood to the meningioma of the base of the skull. This permitted total resection of a generalized meningioma of the anterior and middle parts of the base of the skull.

摘要

术前栓塞是一种广泛应用的技术,它可能会减少脑内富血管肿瘤的血供。该技术的应用使神经外科医生能够安全地切除不同组织学性质和部位的肿瘤。术前栓塞的对象最常见的是凸面或矢状窦旁部位的脑膜瘤。根据文献中的数据,颈内动脉或眼动脉栓塞的病例不超过10例。所描述的病例成功地对受累的颈内动脉进行了栓塞,其分支在为颅底脑膜瘤供血中发挥了积极作用。这使得能够完全切除颅底前部和中部的广泛性脑膜瘤。

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