Department of Neurosurgery, Japanese Red Cross Medical Center, Tokyo, Japan.
Department of Neurosurgery, Japanese Red Cross Medical Center, Tokyo, Japan.
World Neurosurg. 2022 Feb;158:152-155. doi: 10.1016/j.wneu.2021.11.078. Epub 2021 Nov 24.
Endoscopic surgery is widely used for intraventricular and skull base tumor resections; however, its utility is not limited to deep parts of the brain.
A 73-year-old female presented with left-side hemiparesis and seizures due to a relapsed atypical meningioma of convexity. The tumor was located just under a synthetic bone substitute and was covered by a delicate myocutaneous free flap, preventing the usual skin incision route to approach the lesion.
The tumor was successfully removed using an endoscope without damaging the flap.
With the aid of an endoscope, a superficial meningioma could be removed with the affected dura through a small craniotomy.
内镜手术广泛应用于脑室内和颅底肿瘤切除；然而，其用途不仅限于大脑深部。
一位 73 岁女性因复发性凸面非典型脑膜瘤导致左侧偏瘫和癫痫发作。肿瘤位于合成骨替代品下方，被一层精细的肌皮游离瓣覆盖，这使得通常的皮肤切口途径无法接近病变部位。
肿瘤在内镜的辅助下成功切除，未损伤皮瓣。
借助内镜，可通过小骨窗开颅切除累及硬脑膜的表浅脑膜瘤。
