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肿瘤与侧脑室手术入路。引言与概述。

Tumors and approaches to the lateral ventricles. Introduction and overview.

作者信息

Piepmeier J M

机构信息

Yale University School of Medicine, Section of Neurosurgery, New Haven, CT 06520-8039, USA.

出版信息

J Neurooncol. 1996 Dec;30(3):267-74. doi: 10.1007/BF00177278.

DOI:10.1007/BF00177278
PMID:8943102
Abstract

There are a variety of tumors that arise within the lateral ventricles and they present a unique surgical challenge. These lesions commonly are benign and because they frequently are slowly expanding and cause non-specific symptoms they can grow to a large size before they reach medical attention. This report presents an introduction to and an overview of the problems caused by lateral ventricular tumors and summarizes the author's experience in the evaluation and management of these lesions. The most consistent neurological problems associated with lateral ventricular tumors are cognitive impairments commonly associated with hydrocephalus. Consequently, effective management not only requires successful surgical therapy, but also returning the patient to normal neurological and cognitive function. Recognition of these problems and minimizing further injury are the best methods of providing for an optimal outcome.

摘要

侧脑室内会出现多种肿瘤,这些肿瘤带来了独特的手术挑战。这些病变通常是良性的,由于它们往往生长缓慢并引起非特异性症状,所以在引起医疗关注之前可能会长得很大。本报告介绍并概述了侧脑室肿瘤所引发的问题,并总结了作者在评估和处理这些病变方面的经验。与侧脑室肿瘤相关的最常见神经问题是通常与脑积水相关的认知障碍。因此,有效的治疗不仅需要成功的手术治疗,还需要使患者恢复正常的神经和认知功能。认识到这些问题并尽量减少进一步损伤是实现最佳治疗效果的最佳方法。

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