Baldwin H Z, Miller C G, van Loveren H R, Keller J T, Daspit C P, Spetzler R F
Department of Neuro-Otology, Barrow Neurological Institute, Phoenix, Arizona.
J Neurosurg. 1994 Jul;81(1):60-8. doi: 10.3171/jns.1994.81.1.0060.
A far lateral approach to the ventral brain stem, lower clivus, and anterior foramen magnum is described. Methods for further exposure of the superior petroclival region by incorporating a subtemporal craniotomy and posterior petrosectomy are also demonstrated. Eight sequentially illustrated steps depict this technique. The far lateral/combined supra- and infratentorial exposure is a comprehensive surgical approach that provides direct access to the entire anterior and lateral brain stem and craniovertebral junction. It minimizes brain-stem retraction and maximizes visualization of the neurovascular structures.
本文描述了一种经远外侧入路到达腹侧脑干、下斜坡和枕骨大孔前方的方法。还展示了通过联合颞下开颅术和岩骨后切除术进一步暴露岩骨斜坡区上部的方法。八个步骤的连续图示展示了该技术。远外侧/幕上和幕下联合入路是一种全面的手术入路，可直接到达整个脑干前部和外侧以及颅颈交界区。它可将脑干牵拉降至最低限度，并使神经血管结构的可视化最大化。
