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[颅颈交界区肿瘤]

[Tumors of the craniocervical junction].

作者信息

Zierski J, Veelken J

机构信息

Neurochirurgische Klinik, Vivantes Klinikum Neukölln, Berlin.

出版信息

Orthopade. 2006 Mar;35(3):288-95. doi: 10.1007/s00132-006-0926-x.

DOI:10.1007/s00132-006-0926-x
PMID:16477403
Abstract

In this review, the authors describe the most common tumors of the craniocervical junction and their management. Early recognition is important in view of the unspecific symptomatology and much better surgical results in patients operated before the appearance of neurological deficits. In the last 15 years, different craniobasal approaches have been developed which permit the radical excision of many of these lesions with no or acceptable morbidity. Representative cases are illustrated.

摘要

在本综述中,作者描述了颅颈交界区最常见的肿瘤及其治疗方法。鉴于症状不具特异性,且在神经功能缺损出现之前接受手术的患者手术效果要好得多,早期识别很重要。在过去15年中,已开发出不同的颅底入路,这些入路能够在不产生或仅产生可接受的并发症的情况下对许多此类病变进行根治性切除。文中展示了典型病例。

相似文献

1
[Tumors of the craniocervical junction].[颅颈交界区肿瘤]
Orthopade. 2006 Mar;35(3):288-95. doi: 10.1007/s00132-006-0926-x.
2
Honored guest presentation: surgery at the crossroads: craniocervical neoplasms.特邀嘉宾演讲:十字路口的外科手术:颅颈肿瘤
Clin Neurosurg. 2005;52:218-28.
3
Benign extramedullary tumors in the foramen magnum region.枕骨大孔区良性髓外肿瘤。
Clin Neurol Neurosurg. 1994 Nov;96(4):284-9. doi: 10.1016/0303-8467(94)90115-5.
4
The far lateral approach for ventrally placed foramen magnum and upper cervical spine tumours.用于腹侧位置的枕骨大孔和上颈椎肿瘤的远外侧入路。
Br J Neurosurg. 1993;7(2):129-40. doi: 10.3109/02688699309103469.
5
Management of benign craniovertebral junction tumors.良性颅颈交界区肿瘤的管理
Acta Neurochir (Wien). 2003 Jan;145(1):31-6. doi: 10.1007/s00701-002-1024-4.
6
The far lateral approach for intra-dural anteriorly situated tumours at the craniovertebral junction.用于颅颈交界区硬膜内前方肿瘤的远外侧入路。
Turk Neurosurg. 2011;21(4):494-8.
7
[Foramen magnum tumor--the diagnosis and surgical approach].
No Shinkei Geka. 1986 Mar;14(3 Suppl):271-6.
8
[The craniocervical transitional area: a diagnostic problem].[颅颈交界区:一个诊断难题]
Digitale Bilddiagn. 1985 Jun;5(2):61-5.
9
[A myxochondroma--chondromyxoid fibroma--of the base of the skull with expansion in the spinal canal].[一例发生于颅底并向椎管内扩展的黏液软骨瘤——软骨黏液样纤维瘤]
Acta Neurochir (Wien). 1966;15(3):150-8. doi: 10.1007/BF01406777.
10
Mixed capillary-cavernous extramedullary intradural hemangioma of the spinal cord mimicking meningioma: Case report.脊髓混合型毛细血管-海绵状髓外硬膜内血管瘤酷似脑膜瘤:病例报告
Br J Neurosurg. 2015 Jun;29(3):438-9. doi: 10.3109/02688697.2014.997668. Epub 2015 Jan 6.

本文引用的文献

1
Surgical results for meningiomas of the craniocervical junction.
Neurosurgery. 1996 Dec;39(6):1086-94; discussion 1094-5. doi: 10.1097/00006123-199612000-00003.
2
Surgical management of intramedullary spinal cord tumors: functional outcome and sources of morbidity.脊髓髓内肿瘤的外科治疗:功能结果及发病原因
Neurosurgery. 1994 Jul;35(1):69-74; discussion 74-6. doi: 10.1227/00006123-199407000-00011.
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Surgical treatment of spinal chordomas.脊髓脊索瘤的外科治疗。
Arch Surg. 1987 Dec;122(12):1479-82. doi: 10.1001/archsurg.1987.01400240127024.
4
Intra-axial tumors of the cervicomedullary junction.
J Neurosurg. 1987 Oct;67(4):483-7. doi: 10.3171/jns.1987.67.4.0483.
5
The dorsolateral, suboccipital, transcondylar approach to the lower clivus and anterior portion of the craniocervical junction.经枕下外侧髁上入路至下斜坡及颅颈交界区前部。
Neurosurgery. 1991 Dec;29(6):815-21. doi: 10.1097/00006123-199112000-00002.