Crockard H A, Bradford R
J Neurosurg. 1985 Feb;62(2):293-5. doi: 10.3171/jns.1985.62.2.0293.
The transoral route was used to remove a schwannoma situated anteriorly at the craniocervical junction. By a relatively simple technique, a watertight closure of the dura and nasopharynx was obtained combined with continuous cerebrospinal fluid (CSF) diversion, first by lumbar drainage and then via a lumboperitoneal shunt. This modification of the standard procedure provides a useful method to prevent CSF fistula formation following transoral intradural surgery.
采用经口途径切除位于颅颈交界前方的神经鞘瘤。通过相对简单的技术,在持续脑脊液(CSF)引流的同时实现了硬脑膜和鼻咽部的水密缝合,先是通过腰椎引流,然后通过腰大池腹腔分流术。这种对标准手术的改进提供了一种预防经口硬脊膜内手术后脑脊液漏形成的有用方法。