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使用血管带治疗涉及椎基底动脉的神经血管压迫的微血管减压新方法——两例报告。

New method of MVD using a vascular tape for neurovascular compression involving the vertebrobasilar artery--report of two cases.

作者信息

Suzuki S, Tsuchita H, Kurokawa Y, Kitami K, Sohma T, Takeda T

机构信息

Department of Neurosurgery, Sapporo City General Hospital, Japan.

出版信息

Neurol Med Chir (Tokyo). 1990 Dec;30(13):1020-3. doi: 10.2176/nmc.30.1020.

DOI:10.2176/nmc.30.1020
PMID:1714048
Abstract

In the treatment of hemifacial spasm and trigeminal neuralgia by microvascular decompression (MVD), lack of improvement or recurrence may occur because of the difficulties in positioning prostheses and the involvement of the large vertebrobasilar arteries, even with use of fenestrated aneurysm clips or adhesives. We have developed a new method of MVD, in which a vascular tape is anchored to the dura mater to transpose the responsible large artery. This method achieved successful results in our two patients with nerve compression involving the vertebrobasilar arteries.

摘要

在通过微血管减压术(MVD)治疗面肌痉挛和三叉神经痛时,即使使用开窗动脉瘤夹或粘合剂,由于假体定位困难以及大椎基底动脉受累,仍可能出现改善不足或复发的情况。我们开发了一种新的MVD方法,其中将血管带固定在硬脑膜上以移位责任大动脉。该方法在我们两名患有涉及椎基底动脉神经压迫的患者中取得了成功结果。

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