術中画像支援・モニタリングを用いた頭蓋内海綿状血管腫に対する摘出術  [in Japanese] Surgical Treatment of Intracranial Cavernous Malformations Using Neuronavigation and Monitoring  [in Japanese]

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Author(s)

    • 黒住 和彦 KUROZUMI Kazuhiko
    • 岡山大学大学院 脳神経外科 Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • 菱川 朋人 HISHIKAWA Tomohito
    • 岡山大学大学院 脳神経外科 Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • 亀田 雅博 KAMEDA Masahiro
    • 岡山大学大学院 脳神経外科 Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • 上利 崇 AGARI Takashi
    • 岡山大学大学院 脳神経外科 Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • 市川 智継 ICHIKAWA Tomotsugu
    • 岡山大学大学院 脳神経外科 Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • 伊達 勲 DATE Isao
    • 岡山大学大学院 脳神経外科 Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences

Abstract

We reviewed 25 consecutive cases of cerebral cavernous malformations that were surgically treated in Okayama University Hospital between 2008 and 2014, and evaluated the surgical approach used for each lesion, its accessibility, navigation, monitoring, and the pre- and post-operative neurological statuses. Of 18 cases involving the supratentorial area, eight of the cavernous malformations were frontal lesions, five were temporal, one was parietal, two were occipital, and two were cavernous sinus lesions. Of seven cases involving the infratentorial area, three of the cavernous malformations were cerebellar lesions, one was midbrain, two were pons lesions, and one was located in the medulla. Microsurgery was performed with the help of intraoperative neuronavigation and neurophysiological monitoring. Most lesions that are to be approached surgically are close to or contact a pial or ependymal surface. Patients with long-term follow-ups (mean: 34.4 months) showed a mean modified Rankin Stroke Scale score of 1.0. Combination of neuronavigation and neurophysiological monitoring contributes to safety of operation and decrease of postoperative disability rate.

Journal

  • Surgery for Cerebral Stroke

    Surgery for Cerebral Stroke 44(4), 295-301, 2016

    The Japanese Society on Surgery for Cerebral Stroke

Codes

  • NII Article ID (NAID)
    130005262377
  • Text Lang
    JPN
  • ISSN
    0914-5508
  • Data Source
    J-STAGE 
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