Neurosurgery Division, Department of Clinical Neurosciences, Faculty of Medicine, Geneva University Medical Center, Geneva, Switzerland.
Acta Neurochir (Wien). 2012 Oct;154(10):1815-20. doi: 10.1007/s00701-012-1456-4. Epub 2012 Aug 25.
Tumors of the cauda equina usually require surgery due to their impingement on neighboring nerve roots, often resulting in pain and neurological deficits.
The Authors first give a brief introduction on cauda equina tumors, followed by a description of the surgical anatomy, and then develop the microsurgical technique. In particular, tricks to avoid complications are presented, underlining the importance of intraoperative neuromonitoring.
Both microsurgical technique and neuromonitoring are important in cauda equina tumor surgery, the goal of which is to achieve complete resection while at the same time preserving neurological function.
马尾神经根肿瘤通常需要手术治疗,因为它们会压迫邻近的神经根,导致疼痛和神经功能缺损。
作者首先简要介绍了马尾神经根肿瘤,然后描述了手术解剖结构,最后介绍了显微外科技术。特别提出了避免并发症的技巧,强调了术中神经监测的重要性。
在马尾神经根肿瘤手术中,显微外科技术和神经监测都很重要,其目标是在保留神经功能的同时实现肿瘤的完全切除。