同心颅骨切开术：切除累及颅骨和颅内空间的肿瘤。
Concentric craniotomy: removal of tumor involving the skull and the intracranial space.
机构信息
Section of Neurosurgery, Department of Surgery, Addis Ababa University, Addis Ababa, Ethiopia.
Department of Radiology, Addis Ababa University, Addis Ababa, Ethiopia.
出版信息
World Neurosurg. 2014 Mar-Apr;81(3-4):651.e15-6. doi: 10.1016/j.wneu.2013.06.006. Epub 2013 Jun 26.
BACKGROUND
Removal of a tumor involving both the intracranial space and the skull presents technical challenges. This is especially so if there is a potential for significant hemorrhage due to a hemangioma or a significant attachment to the brain as with a meningioma.
CASE DESCRIPTION
We describe a technique where the tumor attached to the skull is left undisturbed and a second wider concentric craniotomy exposes normal dura. The entire tumor, both intracranial and that involving the skull and dura, can then be removed as one specimen.
CONCLUSION
The technique we describe, a concentric craniotomy, transforms a difficult operation with the potential for significant hemorrhage into a more standard removal of a convexity tumor.
背景
切除同时涉及颅内空间和颅骨的肿瘤存在技术挑战。如果由于血管瘤存在大量出血的风险，或者与脑膜瘤一样与大脑有明显的附着，情况更是如此。
病例描述
我们描述了一种技术，其中颅骨上附着的肿瘤不被干扰，进行第二次更宽的同心开颅术以暴露正常硬脑膜。然后可以将整个肿瘤，包括颅内和颅骨及硬脑膜的肿瘤，作为一个标本一起切除。
结论
我们描述的技术，即同心开颅术，将具有大量出血风险的困难手术转化为更标准的凸面肿瘤切除术。
Zotero 插件