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最大化经扁桃体下经小脑延髓池入路至鞍上池:我是怎么做的。

Maximizing the subtonsillar transcerebellomedullary approach to suprasellar cistern: how I do it.

作者信息

McClugage Samuel G, Weiner Howard L, Aldave Guillermo

机构信息

Division of Pediatric Neurosurgery, Department of Surgery, Texas Children's Hospital, 6701 Fannin Street, Suite 1230, Houston, TX, 77030, USA.

Department of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.

出版信息

Acta Neurochir (Wien). 2022 Mar;164(3):751-755. doi: 10.1007/s00701-021-05033-5. Epub 2021 Nov 3.

DOI:10.1007/s00701-021-05033-5
PMID:34731297
Abstract

BACKGROUND

The subtonsillar transcerebellomedullary approach (STA) has been well established as one of the surgical options to access lesions in the foramen of Luschka. The middle cerebellar peduncle has been defined as the superior limit of this corridor, and tumors extending beyond this landmark were often approached through combined accesses.

METHOD

We illustrate the access to the suprasellar cistern, from a purely STA for a large tumor arising from the foramen of Luschka.

CONCLUSION

This manuscript demonstrates the STA as a valid alternative for certain tumors of the foramen of Luschka, which extend into crural and suprasellar cisterns.

摘要

背景

扁桃体下经小脑延髓入路(STA)已被确立为进入Luschka孔病变的手术选择之一。小脑中间脚被定义为该通道的上界,超出该标志的肿瘤通常通过联合入路进行处理。

方法

我们展示了从单纯的STA入路进入鞍上池,用于处理起源于Luschka孔的大型肿瘤。

结论

本文证明了STA对于某些延伸至脚间池和鞍上池的Luschka孔肿瘤是一种有效的替代方法。

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本文引用的文献

1
The midline suboccipital subtonsillar approach to the cerebellomedullary cistern: how I do it.枕下中线扁桃体下小脑延髓池入路:我的手术方法。
Acta Neurochir (Wien). 2017 Sep;159(9):1613-1617. doi: 10.1007/s00701-017-3270-5. Epub 2017 Jul 22.
2
Anatomy and approaches along the cerebellar-brainstem fissures.沿小脑-脑干裂的解剖结构及入路
J Neurosurg. 2016 Jan;124(1):248-63. doi: 10.3171/2015.2.JNS142707. Epub 2015 Aug 14.
3
The midline suboccipital subtonsillar approach to the cerebellomedullary cistern and its structures: anatomical considerations, surgical technique and clinical application.
经枕下中线扁桃体下小脑延髓池及其结构的入路:解剖学考量、手术技术及临床应用
Clin Neurol Neurosurg. 2014 Oct;125:98-105. doi: 10.1016/j.clineuro.2014.07.029. Epub 2014 Jul 27.
4
The posterior inferior cerebellar artery and its branches in relation to the cerebellomedullary fissure.小脑下后动脉及其分支与小脑延髓裂的关系。
Clin Anat. 2008 Mar;21(2):119-26. doi: 10.1002/ca.20581.
5
Subtonsillar approach to the foramen of Luschka: an anatomic and clinical study.经扁桃体下途径至Luschka孔:一项解剖学与临床研究
Neurosurgery. 2003 Apr;52(4):860-6; discussion 866. doi: 10.1227/01.neu.0000053146.83780.74.
6
Subtonsillar-transcerebellomedullary approach to lesions involving the fourth ventricle, the cerebellomedullary fissure and the lateral brainstem.
Br J Neurosurg. 1999 Jun;13(3):276-84. doi: 10.1080/02688699943682.