颞下入路治疗基底动脉尖部动脉瘤的技术细节
Technical nuances of subtemporal approach for the treatment of basilar tip aneurysm.
作者信息
Nakov Vladimir S, Spiriev Toma Y, Todorov Ivan T, Simeonov Plamen
机构信息
Department of Neurosurgery, Tokuda Hospital, Sofia, Bulgaria.
Department of Neurosurgery, Military Medical Academy, Sofia, Bulgaria.
出版信息
Surg Neurol Int. 2017 Feb 6;8:15. doi: 10.4103/2152-7806.199555. eCollection 2017.
BACKGROUND
Basilar tip aneurysms are one of the most complex vascular lesions to treat surgically because of their location, depth of the approach, and close proximity of vital neurovascular structures such as the mesencephalon, cranial nerves, perforating arteries to the thalamus. There are different surgical approaches utilized to reach basilar tip aneurysms, namely, pterional, pretemporal, orbitozygomatic, subtemporal, and anterior petrosectomy. Each of them has its advantages and limitations.
METHODS
In this paper, we present our personal experience with the use of subtemporal approach. The technique is described in detail including its nuances and potential pitfalls.
RESULTS
The subtemporal approach is indicated for basilar tip aneurysms located at the level of the floor of the sella turcica to 1 cm above the dorsum sellae.
CONCLUSION
Subtemporal approach offers good surgical corridor for the management of these complex vascular lesions.
背景
由于基底动脉尖部动脉瘤的位置、手术入路深度以及与中脑、颅神经、丘脑穿通动脉等重要神经血管结构距离很近，因此是手术治疗最复杂的血管病变之一。有多种手术入路可用于显露基底动脉尖部动脉瘤，即翼点入路、颞前入路、眶颧入路、颞下入路和岩前入路。每种入路都有其优缺点。
方法
在本文中，我们介绍了使用颞下入路的个人经验。详细描述了该技术，包括其细微差别和潜在陷阱。
结果
颞下入路适用于位于鞍底水平至鞍背上方1厘米处的基底动脉尖部动脉瘤。
结论
颞下入路为处理这些复杂的血管病变提供了良好的手术通道。
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