Zeumer H, Elies W, Brückmann H, Buchner H, Adelt D
Laryngol Rhinol Otol (Stuttg). 1986 Jul;65(7):406-9.
If blood supply to the brain hemisphere is disturbed following closure of internal homolateral carotid artery tumors of the skull base with involvement of this artery should not be operated on radically. The authors describe the electrophysiological monitoring of cortical evoked somato-sensory potentials. If there is no alteration of the evoked potentials after preliminary reversible blockade of the internal carotid artery this vessel can be definitely closed using a detachable balloon. Thereafter the whole tumor including the carotid artery can be removed. The authors describe a case of juvenile angiofibroma operated on in this way. The combined interventional-neuroradiological and surgical management widens the range of skull base surgery.
如果在闭合同侧颈内动脉后大脑半球的血液供应受到干扰，累及该动脉的颅底肿瘤不应进行根治性手术。作者描述了皮质诱发体感电位的电生理监测。如果在颈内动脉初步可逆性阻断后诱发电位没有改变，那么可以使用可脱性球囊明确闭塞该血管。此后，包括颈动脉在内的整个肿瘤都可以切除。作者描述了一例以这种方式进行手术的青少年血管纤维瘤病例。介入神经放射学和手术联合治疗拓宽了颅底手术的范围。
