Wang Zhen, Qian Chunhua, Shi Lufeng, Wang Lin, Zhang Jianmin, Wang Yongjie
Department of Neurosurgery, 2nd Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, People's Republic of China.
J Craniofac Surg. 2015 Oct;26(7):e577-80. doi: 10.1097/SCS.0000000000002128.
To summarize our experience in surgery approach to brainstem cavernous malformation (BSCM).
A review of 23 consecutive patients with BSCM receiving surgical resection in our center between July of 2003 and June of 2014 was performed.
Suboccipital approach, retrosigmoid approach, infratentorial-supracerebellar approach, Poppen approach, pterional approach, Kawase approach, and interhemispheric transcallosal-third ventrical approach were applied, of which the last 2 approaches being firstly reported in BSCM surgery. Gross total resection was achieved in 22 patients, whereas subtotal resection in 1. Neurologic function was improved in 15 patients, unchanged in 7 patients, and deteriorated in 1 patient. During a mean follow-up of 3.5 years, no recurrence occurred.
Proper surgery approach is important to assure total resection, protect normal vital structures, and avoid recurrence.
总结我们在脑干海绵状畸形（BSCM）手术入路方面的经验。
对2003年7月至2014年6月期间在我们中心连续接受手术切除的23例BSCM患者进行回顾性研究。
采用了枕下入路、乙状窦后入路、幕下小脑上入路、Poppen入路、翼点入路、Kawase入路和经胼胝体-第三脑室入路，其中后两种入路首次在BSCM手术中报道。22例患者实现了全切，1例次全切。15例患者神经功能改善，7例患者神经功能无变化，1例患者神经功能恶化。平均随访3.5年，无复发发生。
合适的手术入路对于确保全切、保护正常重要结构及避免复发至关重要。
