7th Department of Neuro-oncology, N. N. Burdenko National Medical Research Center of Neurosurgery, Moscow, 125047, Russia.
, Moscow, Russia.
Acta Neurochir (Wien). 2021 Nov;163(11):3093-3096. doi: 10.1007/s00701-021-04806-2. Epub 2021 Mar 22.
BACKGROUND: Neurosurgical resection of insular gliomas is complicated by the risk of iatrogenic injury to lenticulostriate arteries (LSAs). METHOD: We provide a description, figures, and a video to illustrate the clinical case in which the LSA was damaged during the resection of insular glioma. Cadaveric dissection from our anatomical laboratory and our 3D anatomical model provided relevant surgical anatomy of the insula. CONCLUSION: Proximal dissection of the Sylvian fissure up to the most lateral LSA, the emergence of the beige putamen, and the lenticulostriate veins are anatomic landmarks that allow reducing the risk of damaging the intraparenchymatous segment of the LSAs.
背景：岛叶胶质瘤的神经外科切除术存在损伤纹状体动脉（LSAs）的医源性风险。 方法：我们提供了一个病例描述、图片和视频，以说明在岛叶胶质瘤切除过程中 LSA 受损的情况。我们解剖实验室的尸体解剖和 3D 解剖模型为岛叶的相关手术解剖提供了依据。 结论：向外侧分离至最外侧 LSAs 的侧裂近端、苍白球显露以及纹状体静脉是解剖学标志，可以降低损伤 LSAs 脑实质内段的风险。
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