Department of Neurosurgery, National Neuroscience Institute, Singapore.
Department of Neurosurgery, National Neuroscience Institute, Singapore.
J Clin Neurosci. 2021 Apr;86:45-49. doi: 10.1016/j.jocn.2020.12.026. Epub 2021 Jan 27.
Historically, neoplasms which are located in the subcortical region of the brain are considered technically difficult to access. As such, tumours in these locations are usually avoided, due to the risks associated with traversing eloquent cortex, the disrupting of white matter tracts, or the need to use narrow corridors to approach the lesion. Tubular retractors are able to gently displace brain parenchyma and white matter in an atraumatic fashion to access these deep regions. We demonstrate a minimally invasive trans-sulcal parafascicular approach using the Brainpath system (NICO Corp, Indianapolis, Indiana) to a caudate head metastasis as a representative case.
从历史上看，位于大脑皮质下区域的肿瘤被认为在技术上难以触及。因此，由于穿越功能区皮质、破坏白质束或需要使用狭窄的通道接近病变等相关风险，这些部位的肿瘤通常被避开。管状牵开器能够以无创的方式轻柔地移位脑实质和白质，以进入这些深部区域。我们展示了使用 Brainpath 系统（NICO 公司，印第安纳州印第安纳波利斯）进行经侧裂岛叶入路到达尾状头部转移瘤的微创方法，作为一个代表性病例。
