Hôpital Lariboisière, Assistance Publique - Hôpitaux de Paris, Paris, France; Department of Neurosurgery, The Medical City, Ortigas Avenue, Pasig City, Metro Manila, Philippines.
Hôpital Lariboisière, Assistance Publique - Hôpitaux de Paris, Paris, France; Neurosurgery and Neurology Department, Santa Casa BH, Belo Horizonte, Brazil.
Clin Neurol Neurosurg. 2023 May;228:107682. doi: 10.1016/j.clineuro.2023.107682. Epub 2023 Mar 23.
Large anterior clinoidal meningiomas are tumors that arise on the anterior clinoid often compressing and encasing the nearby neurovascular structures such as the carotid artery and the optic nerve. These remain as very challenging cases for neurosurgeons because of the issues concerning preservation of critical structures and gross total excision. In this video submission, we will show a case of a large anterior clinoidal meningioma through a tailored frontotemporoorbitozygomotic craniotomy with emphasis on anterior clinoidectomy and the different corridors that can be obtained by this particular approach. The methodical dissection of the tumor and the other critical structures can also be seen.
大型前床突脑膜瘤是一种起源于前床突的肿瘤，常压迫和包裹附近的神经血管结构，如颈动脉和视神经。由于涉及到关键结构的保护和大体全切除的问题，这些肿瘤仍然是神经外科医生面临的极具挑战性的病例。在本视频投稿中，我们将通过定制的额颞眶颧开颅术展示一例大型前床突脑膜瘤病例，重点介绍前床突切除术和通过这种特殊入路可以获得的不同通道。还可以看到肿瘤和其他关键结构的系统解剖。
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