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猫经斜坡入路的展神经实验性暴露与修复

Experimental transclival exposure and repair of the abducens nerve in cats.

作者信息

Sandvoss G, Stoltenburg-Didinger G, Yasargil M G

出版信息

Neurochirurgia (Stuttg). 1987 May;30(3):65-8. doi: 10.1055/s-2008-1053659.

DOI:10.1055/s-2008-1053659
PMID:2441279
Abstract

Operations were carried out on eight cats using a transcervical, transclival approach to expose the sixth cranial nerve just beside the basilar artery. In one case 5 mm of the nerve were resected; three months later no reinnervation was seen. In another cat the nerve ends were merely adapted, and good regeneration was seen despite slight neuroma formation. In a third case TabotampR and Aron-Alpha R were used to repair the skull base; this resulted in a neuroma and in atrophy of the sixth cranial nerve with scar adhesions rendering regeneration impossible. In five cases the transsected nerves were glued together with a fibrin adhesive, with excellent results: very good regeneration and reinnervation occurred within three months with ideal parallel alignment of the nerve fibres at the site of the lesion.

摘要

对八只猫进行了手术,采用经颈、经斜坡入路暴露位于基底动脉旁的第六对脑神经。其中一例切除了5毫米的神经;三个月后未见神经再支配。在另一只猫中,仅将神经断端对合,尽管有轻微的神经瘤形成,但仍可见良好的再生。在第三例中,使用TabotampR和Aron-Alpha R修复颅底;这导致了神经瘤和第六对脑神经萎缩,并伴有瘢痕粘连,使再生变得不可能。在五例中,用纤维蛋白粘合剂将横断的神经粘合在一起,结果极佳:三个月内出现了非常好的再生和神经再支配,神经纤维在病变部位理想地平行排列。

相似文献

1
Experimental transclival exposure and repair of the abducens nerve in cats.猫经斜坡入路的展神经实验性暴露与修复
Neurochirurgia (Stuttg). 1987 May;30(3):65-8. doi: 10.1055/s-2008-1053659.
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Intracranial repair of the oculomotor nerve in cats.
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