脳幹部海綿状血管腫の治療戦略　　中脳海綿状血管腫の治療戦略

• 郭 泰彦

  岐阜大学　脳神経外科

• 吉村 紳一

  岐阜大学　脳神経外科

• 坂井 昇

  岐阜大学　脳神経外科

書誌事項

タイトル別名

• Surgical Strategy for Treatment of Midbrain Cavernous Malformation

抄録

We used a paramedian, infratentorial-supracerebellar, transcollicular approach to resect 6 intrinsic midbrain cavernous malformations. The route of access to the lesions was designed to minimize the anatomic and functional damage to the surrounding structures. Access was through one superior colliculus in 2 cases, through one inferior colliculus in 2 cases, and through the superior and inferior colliculi of one side in 2 cases. All 6 lesions were completely removed; the preoperative ocular symptoms improved in 4 of these 6 patients and did not change in 2. The neurological deficits except ocular symptoms improved in 2 patients. No recurrence of bleeding was observed during the follow-up period (mean 52 months).<br> We conclude that the paramedian, infratentorial-supracerebellar, transcollicular approach permits safe removal of intrinsic midbrain cavernous malformations. Resection of the superior or inferior colliculus, or both, on one side appears to be neurologically well tolerated.<br>

収録刊行物

• 脳卒中の外科

  脳卒中の外科 32 (3), 166-171, 2004

  一般社団法人 日本脳卒中の外科学会

キーワード

• midbrain
• cavernous malformation
• surgical approach
• superior colliculus
• inferior colliculu

詳細情報

• CRID: 1390282679647830784
• NII論文ID: 110003739611
• NII書誌ID: AN10061756
• DOI: 10.2335/scs.32.166
• ISSN: 18804683
• ISSN: 09145508
• HANDLE: 20.500.12099/30051
• Web Site: https://gifu-u.repo.nii.ac.jp/records/77597
• Web Site: https://search.jamas.or.jp/link/ui/2004251383
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • IRDB
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可