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Minimally Invasive Neurosurgery最新文献

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The Human Tail Associated with Intraspinal Lipoma: Case Report 人尾巴伴椎管内脂肪瘤:1例报告
Pub Date : 2000-12-01 DOI: 10.1055/s-2000-14510
E. Gönül1, Y. I|.zci1, Ö. Öngürü2, E. Timurkaynak1, N. Seber1
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引用次数: 9
Surgery of Intrinsic Cerebral Neoplasms in Eloquent Areas under Local Anesthesia 局部麻醉下脑内肿物的手术治疗
Pub Date : 2000-12-01 DOI: 10.1055/s-2000-11372
H. Ebel1, M. Ebel1, G. Schillinger1, M. Klimek2, J. Sobesky3, N. Klug1
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引用次数: 37
Endoscopic Surgery of the Third Ventricle: The Subfrontal Trans-Lamina Terminalis Approach 第三脑室的内窥镜手术:额下经终板入路
Pub Date : 2000-12-01 DOI: 10.1055/s-2000-11379
M. Abdou, A. Cohen
The authors describe an endoscopic approach to the anterior aspect of the third ventricle and demonstrate its use in the cadaver. This technique consists of a small supraorbital craniotomy and a subfrontal trans-lamina terminalis approach to the third ventricle. It may be helpful in the management of refractory third ventricular lesions that cannot be easily accessed endoscopically through the foramina of Monro.
作者描述了一种内窥镜方法,以第三脑室的前部,并证明其在尸体上的使用。该技术包括一个小的眶上开颅术和一个额下经终板入路进入第三脑室。它可能有助于管理难治性第三脑室病变,不能轻易通过门罗孔内镜进入。
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引用次数: 20
The “Optimal” Burr Hole Position for Endoscopic Third Ventriculostomy: Results from 31 Stereotactically Guided Procedures 内镜下第三脑室造瘘的“最佳”钻孔位置:31例立体定向引导手术的结果
Pub Date : 2000-12-01 DOI: 10.1055/S-2000-11374
A. Kanner, N. Hopf, P. Grunert
ETV is a well established and successful method in contemporary neurosurgery. With growing experience there is a more efficient patient selection and further advances in technical know how. We evaluated retrospectively a consecutive group of 27 patients who were treated in our institution by stereotactic guided ETV between 1992 and 1996. When reviewing their postoperative imaging studies (MRI/CT) we could measure the position of the burr hole as port of entry for the rigid endoscope in 17 out of 23 finally selected patients. The median lateral position was 28 mm (mean 26.5 mm) from the midline and 8 mm (mean 6.5 mm) anterior of the coronal suture. We conclude that the optimal burr hole position should be 3 cm lateral to the midline and 1 cm anterior of the coronal suture, in the patients with normal anatomical findings.
ETV在当代神经外科中是一种成熟和成功的方法。随着经验的增长,我们可以更有效地选择患者,并进一步提高技术知识。我们回顾性评估了一组连续的27例患者,这些患者在1992年至1996年期间在我们的机构接受立体定向引导的ETV治疗。当回顾他们的术后影像学研究(MRI/CT)时,我们可以测量23例最终入选患者中的17例作为刚性内窥镜入口的钻孔位置。正中外侧位置距中线28mm(平均26.5 mm),距冠状缝线前方8mm(平均6.5 mm)。我们认为,在解剖结果正常的患者中,最佳钻孔位置应为中线外侧3cm,冠状缝线前方1cm。
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引用次数: 26
Virtual Placement of Frontal Ventricular Catheters Using Frameless Neuronavigation: An “Unbloody Training” for Young Neurosurgeons 使用无框架神经导航虚拟放置额脑室导管:对年轻神经外科医生的“不流血训练”
Pub Date : 2000-12-01 DOI: 10.1055/s-2000-11376
G. Krombach1, A. Ganser1, Ch Fricke2, V. Rohde1, M. Reinges1, J. Gilsbach1, U. Spetzger1
Objective: Methods: Results: Conclusion:
目的:方法:结果:
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引用次数: 34
Clinical Features in Patients Requiring Reoperation after Failed Endoscopic Procedures for Hydrocephalus 内窥镜治疗脑积水失败后需要再手术患者的临床特点
Pub Date : 2000-12-01 DOI: 10.1055/s-2000-11377
N. Hayashi, H. Hamada, Y. Hirashima, M. Kurimoto, A. Takaku, S. Endo
The aim of this study was to clarify the clinical features of patients at risk of secondary obstruction following endoscopic fenestration. Clinical notes and endoscopic findings for 15 patients treated with endoscopic procedures were retrospectively reviewed. Endoscopic third ventriculostomy (ETV) was performed as initial treatment in 4 patients with non-communicating hydrocephalus, including a neonate with myelomeningocele, and as an alternative to shunt revision in 4 patients. Two patients with non-communicating hydrocephalus caused by tumor or arachnoid cyst were also managed with third ventriculostomy. Four patients with loculated hydrocephalus underwent endoscopic septostomy. A child with an isolated fourth ventricle was treated with endoscopic aqueductoplasty. Of the 15 patients undergoing endoscopic procedure, 4 required reoperation. Of the 10 patients treated with ETV, only the neonate with myelomeningocele required a ventriculoperitoneal shunt because of failure of the initial procedure. Of the 4 patients treated with endoscopic septostomy, 2 children with loculated hydrocephalus following intraventricular hemorrhage (IVH) underwent a second septostomy. In a patient with an isolated fourth ventricle following posthemorrhagic hydrocephalus, recurrence was noted 8 months after the initial procedure. He underwent a second procedure using a stent implanted into the aqueduct to maintain CSF circulation. Sufficient stomal size or implantation of a stent may be required in the under-2-year age group with hydrocephalus accompanied by IVH and associated with myelomeningocele, in whom the risk of secondary obstruction may be high.
本研究的目的是阐明内镜开窗后继发性梗阻风险患者的临床特征。对15例经内窥镜治疗的患者的临床记录和内窥镜检查结果进行回顾性分析。内镜下第三脑室造口术(ETV)作为4例非沟通性脑积水的初始治疗,包括1例新生儿髓膜膨出,并作为4例分流翻修的替代方案。2例由肿瘤或蛛网膜囊肿引起的非交通性脑积水也行第三脑室切开术。4例局部脑积水患者行内窥镜鼻中隔造口术。一个儿童孤立的第四脑室治疗内窥镜导水管成形术。15例患者行内镜手术,4例需要再次手术。在接受ETV治疗的10例患者中,只有患有脊髓脊膜膨出的新生儿由于初始手术失败而需要脑室-腹膜分流术。在接受内窥镜鼻中隔造口术治疗的4例患者中,2例脑室内出血(IVH)后脑积水患儿接受了第二次鼻中隔造口术。一例出血性脑积水患者,第四脑室孤立,初次手术后8个月复发。他接受了第二次手术,将支架植入输尿管以维持脑脊液循环。2岁以下伴有IVH的脑积水并伴有髓系脑膜膨出的患者可能需要足够的造口尺寸或植入支架,这些患者继发性梗阻的风险可能很高。
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引用次数: 47
期刊
Minimally Invasive Neurosurgery
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