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经胼胝体入路至第三脑室的优缺点。

Advantages and disadvantages of the transcallosal approach to the III ventricle.

作者信息

Benes V

机构信息

Department of Pediatric Neurosurgery, Pediatric Faculty of Charles University, Prague, Czechoslovakia.

出版信息

Childs Nerv Syst. 1990 Dec;6(8):437-9. doi: 10.1007/BF00302088.

DOI:10.1007/BF00302088
PMID:2095301
Abstract

The advantages of the transcallosal approach used in children during 10 years at the Department of Pediatric Neurosurgery in Prague are: strict midline approach to the III ventricle, sparing both fornices; convenient approach to the left lateral ventricle from a right sided craniotomy. The disadvantages are: neurological sequelae, the most serious of which are mutism and disturbances of recent memory. Older children and those who showed preoperative symptoms of the disconnection syndrome exhibited more deficits after callosotomy.

摘要

在布拉格小儿神经外科,10年间在儿童中采用经胼胝体入路的优点是:严格经中线进入第三脑室,双侧穹窿均得以保留;从右侧开颅可方便地进入左侧脑室。缺点是:神经后遗症,其中最严重的是缄默症和近期记忆障碍。年龄较大的儿童以及术前有去连接综合征症状的儿童在胼胝体切开术后出现的功能缺损更多。

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本文引用的文献

1
Transcallosal, interfornicial approaches for lesions affecting the third ventricle: surgical considerations and consequences.经胼胝体、穹窿间入路治疗累及第三脑室的病变:手术考量与结果
Neurosurgery. 1982 May;10(5):547-54. doi: 10.1227/00006123-198205000-00001.
2
Sequelae of transcallosal surgery.胼胝体切开术的后遗症。
Childs Brain. 1982;9(1):69-72.
3
Mutism as a consequence of callosotomy.胼胝体切开术导致的缄默症。
J Neurosurg. 1983 Sep;59(3):514-9. doi: 10.3171/jns.1983.59.3.0514.
4
Surgical removal of pineal tumors (pinealomas and teratomas). Experience in a series of 19 cases.
J Neurosurg. 1965 Dec;23(6):565-71. doi: 10.3171/jns.1965.23.6.0565.
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A technique for surgical exposure of the cerebral midline: experimental transcallosal microdissection.
J Neurosurg. 1966 Mar;24(3):687-91. doi: 10.3171/jns.1966.24.3.0687.
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Effects of early and late transection of the corpus callosum in children. A study of tactile and tactuomotor transfer and integration.
Brain. 1986 Oct;109 ( Pt 5):953-67. doi: 10.1093/brain/109.5.953.
7
Microsurgical anatomy of the transcallosal approach to the ventricular system, pineal region and basal ganglia.经胼胝体入路至脑室系统、松果体区及基底节的显微外科解剖
Childs Nerv Syst. 1989 Aug;5(4):212-9. doi: 10.1007/BF00271022.
8
Functional consequences of the transcallosal removal of intraventricular tumours.
J Neurol Neurosurg Psychiatry. 1979 Feb;42(2):134-42. doi: 10.1136/jnnp.42.2.134.