经远外侧髁突下入路切除脑桥下部海绵状血管畸形。
Resection of an inferior pontine cavernous malformation using a far-lateral transcondylar approach.
机构信息
Department of Neurosurgery, University of Utah, Clinical Neurosciences Center, 175 N. Medical Drive East, Salt Lake City, UT 84132, USA.
出版信息
Acta Neurochir (Wien). 2011 Dec;153(12):2461-4. doi: 10.1007/s00701-011-1201-4. Epub 2011 Oct 22.
BACKGROUND
When considering an approach to remove a symptomatic brainstem cavernous malformation, exposure and adequate visualization of the lesion with minimal morbidity should be the primary goals.
METHOD
We describe the use of the far-lateral transcondylar technique to access a cavernous malformation in the lower anterior pons.
RESULTS
This approach accesses the inferior belly of the pons in an inferior-to-superior direction, where the cavernous malformation approaches the surface between the root exit zones of the abducens (VI) cranial nerves.
CONCLUSION
We recommend adding this technique to the repertoire of approaches used to resect these technically challenging lesions in selected cases.
背景
当考虑一种方法来移除有症状的脑干海绵状畸形时，应将暴露和充分显示病变并将发病率最小化作为主要目标。
方法
我们描述了使用远外侧经髁突技术来进入前下脑桥的海绵状畸形。
结果
这种方法以从下到上的方向进入脑桥的下腹部，在此海绵状畸形接近展神经（VI）颅神经神经根出口区之间的表面。
结论
我们建议在某些情况下，将此技术添加到用于切除这些具有技术挑战性病变的方法组合中。
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