经小脑幕下枕下入路切除毗邻小脑脑桥裂的小脑海绵状血管瘤。
Suboccipital transtentorial approach to remove a cerebellar cavernous malformation adjacent to cerebellomesencephalic fissure.
机构信息
Neurosurgery, XuanWu Hospital, Capital Medical University, 45 # Changchun Street, Xicheng District, Beijing, 100054, China.
出版信息
Acta Neurochir (Wien). 2020 Jul;162(7):1767-1770. doi: 10.1007/s00701-020-04412-8. Epub 2020 May 21.
BACKGROUND
Microsurgical removal of cerebral cavernous malformations (CCMs) at the region of cerebellomesencephalic fissure is technical challenging.
METHODS
A 51-year-old gentleman complained severe vertigo and vomiting for 10 days before admission. The symptoms did not improve after medicine treatment. Neuroimaging studies in other hospital revealed a CCM and hematoma at the region of cerebellomesencephalic fissure invading both the left cerebellum and its peduncles. The CCM was successfully removed through a suboccipital transtentorial approach. The detailed surgical techniques were reported.
CONCLUSION
A suboccipital transtentorial approach could be used to remove CCMs at the region of cerebellomesencephalic fissure.
背景
小脑脑桥裂区脑动静脉畸形（CCM）的显微切除具有一定的技术挑战性。
方法
一位 51 岁的男性患者在入院前 10 天出现严重眩晕和呕吐，经药物治疗后症状无改善。在另一家医院的神经影像学研究显示小脑脑桥裂区有一个 CCM 和血肿，侵犯了左侧小脑及其脑桥脚。该 CCM 通过枕下经天幕入路成功切除。报告了详细的手术技术。
结论
枕下经天幕入路可用于切除小脑脑桥裂区的 CCM。
Zotero 插件