我是这样做的：经内镜小脑幕上小脑幕下入路切除岩斜区脑膜瘤。
How I do it: endoscopic supracerebellar infratentorial approach for torcular meningioma removal.
机构信息
Department of Neurosurgery, Nagoya Daini Red Cross Hospital, 2-9 Myouken-cho, Showa Ward, Nagoya City, Aichi Prefecture, Japan.
Department of Neurosurgery, Nagoya University, Nagoya, Japan.
出版信息
Acta Neurochir (Wien). 2019 Aug;161(8):1669-1673. doi: 10.1007/s00701-019-03950-0. Epub 2019 May 30.
BACKGROUND
Torcular meningioma is a rare type of brain tumor with few reports regarding the appropriate resection approach for this disease. In cases without sinus occlusion, surgeons are advised to spare the sinus; however, the sinus may interfere with the visual field.
METHOD
Endoscopic supracerebellar infratentorial approach for removal of torcular meningioma was performed in the prone position. The tumor attachment to sinus or confluence was removed or coagulate safely due to an optimal look-up view with the 0° and 30° endoscope.
CONCLUSION
Endoscopic supracerebellar infratentorial approach for infratentorial torcular meningioma is a safe and less invasive technique.
背景
岩下窦脑膜瘤是一种罕见的脑肿瘤，关于这种疾病的适当切除方法的报道很少。在没有窦阻塞的情况下，建议外科医生保留窦，但窦可能会影响视野。
方法
采用内镜下小脑上经小脑幕入路切除岩下窦脑膜瘤，患者取俯卧位。由于 0°和 30°内镜的最佳仰视图，肿瘤与窦或汇合处的附着处可被安全地切除或凝固。
结论
内镜下小脑上经小脑幕入路是一种安全、微创的治疗岩下窦脑膜瘤的方法。
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