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翼点微型开颅术和侧裂入路后,脑岛内海绵状血管畸形切除术

编辑:INC|发布时间:2019-11-21 18:07|点击次数:

  翼点微型开颅术和侧裂入路后,脑岛内海绵状血管畸形切除术(Insular cavernous malformation resection through a minipterional, transsylvian approach)

脑岛内海绵状血管畸形切除术

  Cavernous malformations of the brain are low-flow vascular lesions that have a propensity to hemorrhage. Extensive surgical approaches are often required for operative cure of deep-seated lesions. A 23-year-old female presented with a cavernous malformation of the left posterior insula with surrounding hematoma measuring up to 3 cm. A minimally invasive (mini-)pterional craniotomy with a transsylvian approach was selected. Endoscopic assistance was utilized to confirm complete resection of the lesion. The minipterional craniotomy is a minimally invasive approach that provides optimal exposure for sylvian fissure dissection and resection of many temporal and insular lesions.

  The video can be found here: <https://youtu.be/9z6_EhU6lxs>.

  海绵状血管畸形是具有出血倾向的脑内低流量血管畸形。深部病变的切除术经常需要宽大的手术入路。病人:女,23岁,左后脑岛海绵状血管畸形伴长到三公分的周围血肿。选择行微创翼点(微型)开颅术和经侧裂入路。使用内窥镜确定病变完全切除。翼点微型开颅术是一个微创的手术方式,分割侧裂或切除许多颞叶和脑岛的病变时,它会提供更佳的暴露。

  看视频,请点击:<https://youtu.be/9z6_EhU6lxs>.

  本文来源:https://thejns.org/video/view/journals/neurosurg-focus-video/1/1/article-pV26.xml?rskey=hY7Ayc

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