Djindjian M, Nguyen J P
Department of Neurosurgery, Hôpital Henri-Mondor, Faculté de Médecine Paris XII, Créteil, France.
Surg Radiol Anat. 1988;10(1):61-9. doi: 10.1007/BF02094072.
Identification of the anatomic limits of cerebral lobectomies has for long been based on the indirect data provided by ventriculography, arteriography and the statistical anatomic details of the stereotactic atlases. Today, it is simple to identify the cerebral anatomic structures directly on scanner sections, to assess the limits of a required lobectomy and to monitor the outcome. This appears to be just as valid in clinical conditions where the anatomic structures remain near-normal (surgery of epilepsy) as in those where they may be deformed (such as the surgery of malignant gliomata). In order to establish precise correlations between the anatomy and the computed tomographic findings, a study in the occipito-temporal plane used regularly in CT was carried out in 18 brains. Frontal, temporal and occipital lobectomies were performed on these brains using the anatomic landmarks commonly accepted in neurosurgery. The practical import of these theoretic lobectomies studied in the OT plane is illustrated by some examples of surgical excision of lobar cerebral lesions.
长期以来，脑叶切除术解剖学界限的确定一直基于脑室造影、动脉造影以及立体定向图谱的统计学解剖细节所提供的间接数据。如今，在扫描层面上直接识别脑解剖结构、评估所需脑叶切除术的界限并监测手术结果变得轻而易举。这在解剖结构接近正常的临床情况（癫痫手术）以及解剖结构可能变形的情况（如恶性胶质瘤手术）中似乎同样有效。为了在解剖结构与计算机断层扫描结果之间建立精确的相关性，我们对18个大脑进行了一项研究，该研究使用了CT中常用的枕颞平面。在这些大脑上，利用神经外科普遍认可的解剖标志进行了额叶、颞叶和枕叶切除术。通过一些大脑叶病变手术切除的实例，说明了在枕颞平面研究的这些理论性脑叶切除术的实际意义。
