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小脑的功能束——神经外科医生的必备知识

Functional tracts of the cerebellum-essentials for the neurosurgeon.

作者信息

Beez Thomas, Munoz-Bendix Christopher, Steiger Hans-Jakob, Hänggi Daniel

机构信息

Department of Neurosurgery, Medical Faculty, Heinrich-Heine-University, Moorenstrasse 5, 40225, Düsseldorf, Germany.

出版信息

Neurosurg Rev. 2021 Feb;44(1):273-278. doi: 10.1007/s10143-020-01242-1. Epub 2020 Feb 13.

DOI:10.1007/s10143-020-01242-1
PMID:32056026
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7851031/
Abstract

The cerebellum is historically implicated in motor coordination, but accumulating modern evidence indicates involvement in non-motor domains, including cognition, emotion, and language. This correlates with the symptoms observed in postoperative cerebellar mutism syndrome (CMS). Profound knowledge of cerebellar functional topography and tractography is important when approaching cerebellar tumors, as surgical trauma to relevant structures of cerebellar pathways plays a role in the pathogenesis of CMS. The aim of this systematic review is to provide a concise overview of relevant modern neuroimaging data and cerebellar functional tracts with regard to neurosurgical procedures.

摘要

传统上认为小脑与运动协调有关，但越来越多的现代证据表明它也参与非运动领域，包括认知、情感和语言。这与术后小脑缄默综合征（CMS）中观察到的症状相关。在处理小脑肿瘤时，深入了解小脑功能地形图和神经束成像很重要，因为小脑通路相关结构的手术创伤在CMS的发病机制中起作用。本系统综述的目的是就神经外科手术提供相关现代神经影像学数据和小脑功能束的简要概述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/661c/7851031/9e4ebf68750e/10143_2020_1242_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/661c/7851031/96492a984d72/10143_2020_1242_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/661c/7851031/6448f0d16676/10143_2020_1242_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/661c/7851031/992a3b6a471b/10143_2020_1242_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/661c/7851031/9e4ebf68750e/10143_2020_1242_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/661c/7851031/96492a984d72/10143_2020_1242_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/661c/7851031/6448f0d16676/10143_2020_1242_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/661c/7851031/992a3b6a471b/10143_2020_1242_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/661c/7851031/9e4ebf68750e/10143_2020_1242_Fig4_HTML.jpg

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