三叉神经微血管减压术和梅克尔氏腔瘤切除术(经后蝶鞍入路,胸骨上延伸):二维手术视频。

IF 1.7 4区 医学 Q3 CLINICAL NEUROLOGY Operative Neurosurgery Pub Date : 2025-01-01 Epub Date: 2024-07-02 DOI:10.1227/ons.0000000000001239
Fabio Torregrossa, Alessandro de Bonis, Miguel Saez-Alegre, Mariagrazia Nizzola, Ramin A Morshed, Colin L W Driscoll, Maria Peris-Celda
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引用次数: 0

摘要

三叉神经痛(TGN)的主要病因是小脑上动脉(SCA)襻与三叉神经(TN)背根入口区之间的微血管冲突。然而,TN 沿线的病变也被描述为可能导致 TGN 的直接肿块效应或间接血管转位。因此,对于患有小脑角肿瘤或梅克尔洞肿瘤的患者,应该有条不紊地选择 TGN 的手术方法。带有框架上延伸的后乙状结肠(RS)入路可直接进入TN的蝶骨段和梅克尔洞段,从而对TN的血管和肿瘤成分进行最佳减压。尽管许多研究1-4 已经描述了带有蝶骨上延伸的 RS 方法,但仍缺乏详细介绍该方法在处理多成分 TGN 时的关键步骤的视频。在这段视频中,我们重点介绍了一名 46 岁女性的病例,她患有典型的 TGN 6 个月,药物治疗难治,右侧en plaque 脑膜瘤累及岩骨、岩龈交界处、梅克尔洞和触角。此外,磁共振成像还怀疑背根入口区有压迫性 SCA 环。患者接受了RS入路和蝶骨上延伸肿瘤次全切除术,并对TGN进行了微血管减压。患者康复后未出现并发症,TGN 也已愈合。
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Trigeminal Microvascular Decompression and Meckel's Cave Tumor Resection via Retrosigmoid Approach With Suprameatal Extension: 2-Dimensional Operative Video.
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来源期刊
Operative Neurosurgery
Operative Neurosurgery Medicine-Neurology (clinical)
CiteScore
3.10
自引率
13.00%
发文量
530
期刊介绍: Operative Neurosurgery is a bi-monthly, unique publication focusing exclusively on surgical technique and devices, providing practical, skill-enhancing guidance to its readers. Complementing the clinical and research studies published in Neurosurgery, Operative Neurosurgery brings the reader technical material that highlights operative procedures, anatomy, instrumentation, devices, and technology. Operative Neurosurgery is the practical resource for cutting-edge material that brings the surgeon the most up to date literature on operative practice and technique
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