小脑上幕下旁正中入路
The paramedian supracerebellar infratentorial approach.
作者信息
La Pira Biagia, Sorenson Thomas, Quillis-Quesada Vicent, Lanzino Giuseppe
机构信息
Department of Neurologic Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN, 55902, USA.
Department of Neurologic Surgery, University of Valencia, Valencia, Spain.
出版信息
Acta Neurochir (Wien). 2017 Aug;159(8):1529-1532. doi: 10.1007/s00701-017-3196-y. Epub 2017 May 10.
BACKGROUND
Lesions of the superior cerebellar surface, pineal region, lateral and dorsal midbrain and mesial temporal lobe are challenging to treat and often require neurosurgical intervention.
METHODS
The paramedian variation of the supracerebellar infratentorial approach utilizes the downward slope of the cerebellum to facilitate exposure and the lower density of cerebellar bridging veins away from the midline decreases the need to sacrifice larger venous channels. We also discuss our experiences with the approach, and some of the drawbacks and nuances that we have encountered as it has evolved over the years.
CONCLUSIONS
This approach is versatile and effective and the authors' surgical approach of choice for resecting these challenging lesions.
背景
小脑上表面、松果体区、中脑外侧和背侧以及颞叶内侧的病变治疗具有挑战性，通常需要神经外科干预。
方法
小脑幕下小脑上入路的旁正中变异利用小脑的向下倾斜来便于暴露，且远离中线的小脑桥静脉密度较低，减少了牺牲较大静脉通道的需求。我们还讨论了我们在该入路方面的经验，以及多年来该入路发展过程中我们遇到的一些缺点和细微差别。
结论
该入路用途广泛且有效，是作者切除这些具有挑战性病变的首选手术入路。
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