Anterior transpetrosal approach

• 河野 道宏

  東京警察病院脳神経外科・脳卒中センター

書誌事項

タイトル別名

• Anterior Transpetrosal Approach
• Tips and Complications
• 工夫と注意点

抄録

  The anterior transpetrosal approach is a skull base approach that is used for treating lesions in the cerebellopontine angle or pre-pontine area. Trigeminal schwannomas and tentorial meningiomas extending to the Meckel's cave are good indications for this surgical approach. This approach is also applicable for basilar trunk aneurysms and pontine cavernomas or gliomas. The weak points of this approach are a narrow and deep operative field, the necessity of temporal lobe retraction, and a limited lesion site for manipulation (this surgical approach is not appropriate for lesions located around the lower cranial nerves) . Complications such as temporal lobe problems are concerns for surgeons during this procedure ; therefore, lumbar drainage and/or controlling brain retractors are recommended for preventing these difficulties. Given that performance of the anterior transpetrosal approach requires skillful skull base techniques and mastery of methods to prevent complications, this surgical approach is not considered easy. Therefore, surgeons who perform this approach must have adequate knowledge of surgical anatomy so as not to be disoriented during surgery ; they must also be aware of potential complications and how to avoid them.

収録刊行物

• Japanese Journal of Neurosurgery

  Japanese Journal of Neurosurgery 21 (11), 848-856, 2012

  日本脳神経外科コングレス

キーワード

• anterior transpetrosal approach
• middle cranial fossa
• Meckel's cave
• skull base
• trigeminal schwannoma

詳細情報

• CRID: 1390282679382805248
• NII論文ID: 10031131651
• NII書誌ID: AN10380506
• DOI: 10.7887/jcns.21.848
• ISSN: 21873100
• ISSN: 0917950X
• Web Site: https://search.jamas.or.jp/link/ui/2013028460
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可