[Treatment of the lesions at anterolateral area of the brain stem via far-lateral approaches].

Based on our 12 cases of lesions located at anterolateral area of brain stem which were successful operated upon via far-lateral approaches, the study and progress of the far-lateral approaches were reviewed. In our cases, there were 4 intramedullary lesions including 3 vascular malformations, and 1 glioma. The other 8 lesions were located at extramedullary anterolateral area of brain stem including 2 large acoustic neuromas, 2 meningiomas at clivus and 2 neurofibromas at anterolateral areas of the medulla oblongata and upper spinal cord, 1 teratoma at the anterolateral area of pone-medulla and 1 large aneurysm at the junction of vertebrobasilar artery. During the operations, 8 lesions were totally removed. 1 meningioma was subtotally removed. 2 (1 vascular malformation and 1 glioma) were subtotally removed too, the aneurysm was only given a decompression of increased intracranial pressure, because the patient's interrupted respiration during the operation. There were nooperative mortality and morbidity and good results were obtained in this group. The details of our modified far-lateral approach was also described in this paper.