脳幹部海綿状血管腫に対する治療戦略　　脳幹部海綿状血管腫に対する手術

DOI 被引用文献3件 参考文献38件

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タイトル別名
  • Surgical Treatment for the Brainstem Cavernomas

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We reviewed 9 cases of brainstem cavernomas and evaluated the approach for each lesion, accessibility, respectability, and pre- and post operative neurological status. The dorsal lesions were treated with posterior approaches, such as the occipital transtentorial approach or trans-4th ventricle approach. The ventral lesions were treated with anterior approaches using skull base technique, but we needed some technique to access ventral lesions. We used transposition of the cranial nerve and VA, which lay across the surface of the cavernomas in 2 cases, and we performed two-staged surgery in 1 case. In all cases, we were able to access and remove the lesions safely.<br> Dorsal lesions with traditional posterior approaches and the ventral lesions require a skull-base approach and additional technique based on consideration of local anatomy and surrounding structures.<br>

収録刊行物

  • 脳卒中の外科

    脳卒中の外科 36 (6), 415-420, 2008

    一般社団法人 日本脳卒中の外科学会

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