Idris Zamzuri, Tan Yew Chin, Kandasamy Regunath, Ghani Rahman Izaini, Abdullah Jafri Malin
Department of Neurosciences, Center for Neuroscience Service and Research, University Sciences Malaysia, Kelantan, Malaysia.
J Neurol Surg A Cent Eur Neurosurg. 2017 Mar;78(2):210-215. doi: 10.1055/s-0035-1571161. Epub 2016 Mar 11.
Symptomatic intracranial arachnoid cysts are commonly treated using neuroendoscopy. Cysts located within the posterior fossa may present a greater surgical challenge to the neurosurgeon due to the numerous vital neurovascular structures located within this confined space. Adding neuronavigation during endoscopy helps a neurosurgeon to visualize and utilize both anterior and posterior corridors safely to access and manage these lesions. We present three symptomatic posterior fossa arachnoid cysts that were treated successfully using minimally invasive neuronavigation-guided endoscopic neurosurgery utilizing the anterior transfrontal transaqueductal, anterior transfrontal transtrigonal, and posterior suboccipital infratentorial supracerebellar approaches.
有症状的颅内蛛网膜囊肿通常采用神经内镜治疗。由于后颅窝内存在众多重要的神经血管结构，位于该狭小空间内的囊肿可能给神经外科医生带来更大的手术挑战。在内镜检查过程中增加神经导航有助于神经外科医生安全地可视化并利用前后通道来进入和处理这些病变。我们展示了三例有症状的后颅窝蛛网膜囊肿，它们通过使用微创神经导航引导的内镜神经外科手术成功治疗，采用的方法分别是经额经导水管前入路、经额经三角区前入路和枕下小脑上幕下后入路。
