DIRECT SURGERY FOR INTRA-AXIAL BRAINSTEM LESIONS

• Kyoshima Kazuhiko

  Department of Neurosurgery, Shinshu University School of Medicine

• Oikawa Susumu

  Department of Neurosurgery, Shinshu University School of Medicine

• Kobayashi Shigeaki

  Department of Neurosurgery, Shinshu University School of Medicine

抄録

Direct surgery for intra-axial lesions of the brainstem was done for 9 cases : seven cases in the pons (2 cavernous angiomas, 3 gliomas, 2 metastatic tumors) and two in the medulla oblongata (one cavernous angioma, one glioma), by suboccipital craniectomy. For the lesions in the pons, the supra or infrafacial approach was made. Cavernous angiomas were totally removed. Metastatic tumors were gross-totally removed. Gliomas were partially removed except one case in the medulla oblongata which was removed gross-totally. Suprafacial approach was taken in 5 cases and infrafacial approach was in 2. As surgical results, 7 cases showed improvement of symptoms, and 2 cases, which were operated by infrafacial approach, showed worsening. Cavernous angiomas are good candidate for total removal. Infrafacial approach will required more meticulous procedures than the suprafacial triangle.

収録刊行物

• 北関東医学

  北関東医学 48 (Special1), 23-28, 1998

  北関東医学会

キーワード

• Brainstem
• Cavernous angioma
• Glioma
• Metastatic tumor
• Surgical anatomy

詳細情報

• CRID: 1390001206342818944
• NII論文ID: 130000880032
• DOI: 10.2974/kmj.48.special1_23
• ISSN: 18811191
• ISSN: 13432826
• 本文言語コード: en
• 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