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使用卡维超声手术吸引器(CUSA)手术后颅神经的间接损伤。病例报告。

Indirect injury to cranial nerves after surgery with Cavitron ultrasonic surgical aspirator (CUSA). Case report.

作者信息

Ridderheim P A, von Essen C, Zetterlund B

机构信息

Department of Neurosurgery, University Hospital Umeå, Sweden.

出版信息

Acta Neurochir (Wien). 1987;89(1-2):84-6. doi: 10.1007/BF01406673.

DOI:10.1007/BF01406673
PMID:3501667
Abstract

The Cavitron ultrasonic surgical aspirator (CUSA) was used in a patient with an acoustic nerve tumour. After surgery she presented unilateral palsies of several cranial nerves. The nerve injuries were most likely induced by ultrasonic energy transmitted from the CUSA via the petrous bone. We suggest that when the CUSA is used in such operations care should be taken to avoid contact between the vibrating probe of the CUSA and the petrous bone.

摘要

在一名患有听神经瘤的患者身上使用了Cavitron超声手术吸引器(CUSA)。术后她出现了多条颅神经的单侧麻痹。神经损伤很可能是由CUSA通过岩骨传递的超声能量引起的。我们建议,当在这类手术中使用CUSA时,应注意避免CUSA的振动探头与岩骨接触。

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Indirect injury to cranial nerves after surgery with Cavitron ultrasonic surgical aspirator (CUSA). Case report.使用卡维超声手术吸引器(CUSA)手术后颅神经的间接损伤。病例报告。
Acta Neurochir (Wien). 1987;89(1-2):84-6. doi: 10.1007/BF01406673.
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本文引用的文献

1
Acute physiological effects of ultrasonic vibrations on nervous tissue.超声波振动对神经组织的急性生理效应。
Neurosurgery. 1981 Jun;8(6):689-94. doi: 10.1227/00006123-198106000-00009.
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Intraspinal localization of the somatosensory evoked potential.
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Technical and instrumental improvements in the surgical treatment of acoustic neurinomas.听神经瘤外科治疗中的技术与器械改进
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在硬脑膜内前床突切除术期间视神经表面温度:高速钻石磨头与超声骨锉的比较。
Neurosurg Rev. 2014 Jul;37(3):453-8; discussion 458-9. doi: 10.1007/s10143-014-0547-5. Epub 2014 May 7.
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Surgical treatment of posterior fossa tumors in infancy and childhood: techniques and results.婴幼儿及儿童后颅窝肿瘤的外科治疗:技术与结果
Neurosurg Rev. 1993;16(2):135-43. doi: 10.1007/BF00258246.
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J Neurosurg. 1984 Nov;61(5):938-48. doi: 10.3171/jns.1984.61.5.0938.
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Preservation of facial function during removal of acoustic neuromas. Use of monopolar constant-voltage stimulation and EMG.听神经瘤切除术中面神经功能的保留。单极恒压刺激和肌电图的应用。
J Neurosurg. 1984 Oct;61(4):757-60. doi: 10.3171/jns.1984.61.4.0757.
6
Detailed anatomy of the intracranial portion of the trigeminal nerve.三叉神经颅内部分的详细解剖结构。
J Neurosurg. 1971 Nov;35(5):592-600. doi: 10.3171/jns.1971.35.5.0592.
7
Intracranially recorded compound action potentials from the human trigeminal nerve.从人类三叉神经记录的颅内复合动作电位。
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Microsurgical removal of acoustic neuromas.听神经瘤的显微外科手术切除
Surg Neurol. 1976 Oct;6(4):211-9.
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Preliminary experience with ultrasonic aspiration in neurosurgery.
Neurosurgery. 1978 May-Jun;2(3):240-5. doi: 10.1227/00006123-197805000-00010.