15岁男孩松果体畸胎瘤的经胼胝体间经脉络丛入路
Interhemispheric transcallosal transchoroidal approach to a pineal teratoma in a 15-year-old boy.
作者信息
Cinalli Giuseppe, Scala Maria Rosaria, Marini Alessandra, Imperato Alessia, Mirone Giuseppe, Spennato Pietro
机构信息
Department of Pediatric Neurosurgery, Santobono-Pausilipon Children's Hospital, Naples; and.
Division of Neurosurgery, Department of Neurosciences, Reproductive and Odonotostomatological Sciences, Università degli Studi di Napoli "Federico II," Naples, Italy.
出版信息
Neurosurg Focus Video. 2021 Jul 1;5(1):V5. doi: 10.3171/2021.4.FOCVID2126. eCollection 2021 Jul.
In this video, the authors present an interhemispheric transcallosal transchoroidal approach to a pineal mass in a 15-year-old boy. He received emergency endoscopic third ventriculostomy (ETV), then an endoscopic biopsy that revealed an immature teratoma. Surgical removal was selected. The mass was located very high in the posterior third ventricle, hidden behind the splenium of the corpus callosum and the vein of Galen, so an interhemispheric transcallosal approach followed by a complete dissection of the whole choroidal fissure was chosen and allowed complete removal of the tumor. Microsurgical dissection is presented, showing clearly in detail all the neurovascular structures encountered. The video can be found here: https://stream.cadmore.media/r10.3171/2021.4.FOCVID2126.
在本视频中，作者展示了一种针对一名15岁男孩松果体肿块的跨半球经胼胝体经脉络膜入路。他接受了急诊内镜下第三脑室造瘘术（ETV），随后进行了内镜活检，结果显示为未成熟畸胎瘤。选择手术切除。肿块位于第三脑室后部非常高的位置，隐藏在胼胝体压部和大脑大静脉后方，因此选择了跨半球经胼胝体入路，随后对整个脉络膜裂进行完整解剖，从而实现了肿瘤的完整切除。视频展示了显微手术解剖过程，清晰详细地呈现了所遇到的所有神经血管结构。该视频可在此处找到：https://stream.cadmore.media/r10.3171/2021.4.FOCVID2126 。
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