枕下中线扁桃体下小脑延髓池入路：我的手术方法。
The midline suboccipital subtonsillar approach to the cerebellomedullary cistern: how I do it.
作者信息
Herlan Stephan, Roser Florian, Ebner Florian H, Tatagiba Marcos
机构信息
Department of Neurosurgery, Eberhard Karls University Tübingen, Hoppe-Seyler-Straße 3, 72076, Tübingen, Germany.
Institute of Clinical Anatomy and Cell Analysis, Eberhard Karls University Tübingen, Elfriede-Aulhorn-Str. 8, 72076, Tübingen, Germany.
出版信息
Acta Neurochir (Wien). 2017 Sep;159(9):1613-1617. doi: 10.1007/s00701-017-3270-5. Epub 2017 Jul 22.
BACKGROUND
Lesions lateral to the lower brainstem in an area extending from the foraminae of Luschka to the foramen magnum are rare and include different pathologies. There is no consensus on an ideal surgical approach.
METHOD
To gain access to this area, we use the midline suboccipital subtonsillar approach (STA). This midline approach with unilateral retraction of the cerebellar tonsil enables entry into the cerebellomedullary cistern.
CONCLUSIONS
The STA offers excellent access with a panoramic view of the cerebellomedullary cistern and its structures and therefore can be useful for a number of different pathologies in the lower petroclival area.
背景
位于从Luschka孔至枕骨大孔的区域内、脑桥下部外侧的病变较为罕见，且包含不同的病理情况。对于理想的手术入路尚无共识。
方法
为进入该区域，我们采用枕下正中扁桃体下入路（STA）。这种正中入路通过单侧牵拉小脑扁桃体可进入小脑延髓池。
结论
STA提供了极佳的入路，可全景观察小脑延髓池及其结构，因此可用于岩斜下部区域的多种不同病变。
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