Laborde G, Gilsbach J, Harders A
Neurosurgical Clinic of RWTH Aachen, Federal Republic of Germany.
Acta Neurochir (Wien). 1991;110(3-4):193-4. doi: 10.1007/BF01400691.
Haemangioblastomas located in the posterior fossa have rarely been described in patients older than 60 years of age. The authors report a case of a 95 year-old man who presented with an obstructive hydrocephalus secondary to a posterior fossa tumour. Computed tomography and angiography suggested intracerebellar metastasis. Despite the advanced age of the patient and his poor general condition, surgery was performed with the patient in a supine position. A haemiangioblastoma was found and completely removed. The postoperative course was without complications. This case demonstrates that the combination of modern anaesthesia, supine operating position, and the use of microsurgical techniques allow successful operations on the posterior fossa even in very old patients.
位于后颅窝的血管母细胞瘤在60岁以上患者中鲜有报道。作者报告了一例95岁男性患者,该患者因后颅窝肿瘤继发梗阻性脑积水。计算机断层扫描和血管造影提示小脑内转移。尽管患者年事已高且全身状况较差,但仍在仰卧位为其实施了手术。术中发现并完整切除了一个血管母细胞瘤。术后病程无并发症。该病例表明,现代麻醉、仰卧位手术体位以及显微外科技术的联合应用,即使对于高龄患者,也能成功实施后颅窝手术。