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我的手术方法：采用单纯髁突内入路至舌下神经管治疗管内型舌下神经病变。

How I do it: purely intracondylar approach to the hypoglossal canal for the treatment of an intracanalicular hypoglossal lesion.

作者信息

Piazza Amedeo, Olei Simone, Peris-Celda Maria, Serra Carlo

机构信息

Division of Neurosurgery, Sapienza University of Rome, Rome, Italy.

Department of Neurologic Surgery, Mayo Clinic, Rochester, USA.

出版信息

Acta Neurochir (Wien). 2025 Sep 20;167(1):249. doi: 10.1007/s00701-025-06629-x.

DOI:10.1007/s00701-025-06629-x
PMID:40974469
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12450217/
Abstract

BACKGROUND AND IMPORTANCE

Lesions confined to the hypoglossal canal are rare, but may lead to invalidating symptoms. Moreover, extensive approaches to this region frequently require complex dissections and high surgical risks. We propose a minimally invasive approach specifically tailored to purely intracanalicular lesions of the hypoglossal canal.

CLINICAL PRESENTATION

With the aid of operative images and anatomic dissection, we present a clinical case of such a lesion and describe a targeted surgical approach for treatment.

CONCLUSION

For lesions purely confined to the hypoglossal canal, a tailored intracondylar approach is feasible and may, in selected cases, reduce surgical times and complications.

摘要

背景与重要性

局限于舌下神经管的病变罕见，但可能导致致残症状。此外，针对该区域的广泛手术入路通常需要复杂的解剖操作且手术风险高。我们提出一种专门针对舌下神经管单纯管内病变的微创入路。

临床表现

借助手术图像和解剖分离，我们展示了一例此类病变的临床病例，并描述了针对性的手术治疗方法。

结论

对于单纯局限于舌下神经管的病变，定制的髁内入路是可行的，并且在某些情况下可能减少手术时间和并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9735/12450217/567f342352bc/701_2025_6629_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9735/12450217/10a57712bcb8/701_2025_6629_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9735/12450217/04d3706dfc63/701_2025_6629_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9735/12450217/bd2653d24823/701_2025_6629_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9735/12450217/be632df93cef/701_2025_6629_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9735/12450217/567f342352bc/701_2025_6629_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9735/12450217/10a57712bcb8/701_2025_6629_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9735/12450217/04d3706dfc63/701_2025_6629_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9735/12450217/bd2653d24823/701_2025_6629_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9735/12450217/be632df93cef/701_2025_6629_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9735/12450217/567f342352bc/701_2025_6629_Fig5_HTML.jpg

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