Marco Túlio Domingos Silva e Reis , François Dantas , Weverson José Teodoro Lacerda , Vinícios Rivelli da Fonseca , Pedro Moreira Coelho Barroso , Gustavo Henrique Reis de Oliveira , Fernando Luiz Rolemberg Dantas
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引用次数: 0
摘要
背景：基底内陷（BI）是指蝶骨突向颅内和后方向枕骨大孔脱垂。针对这种情况，有多种手术治疗方案可供选择。在此，我们介绍了一种采用单级后方入路减少 BI 的压力手法技术：我们描述了一例被诊断为 A 型 BI 和脑干受压的 56 岁男性病例，他接受了后窝减压和枕颈融合术治疗。术中使用应力手法缩小了 BI，无需进行头颅牵引或寰枢关节牵引：术后造影显示骨突缩小，脑干充分减压。患者的症状逐渐得到改善：结论：在选定的病例中，在现有的技术库中，采用应力手法进行 BI 减缩可以是一种发病率较低、更简单且可复制的选择。
Stress Maneuver for Basilar Invagination Reduction: A Technical Report
Background
Basilar invagination (BI) is a prolapse of the odontoid process cranially and posteriorly towards the foramen magnum. Several surgical treatment options are available for this condition. Herein, we describe a stress maneuver technique for BI reduction using a single-stage posterior approach.
Methods
We described the case of a 56-year-old male diagnosed with type A BI and brainstem compression, who was treated with posterior fossa decompression and occipitocervical fusion. The BI was reduced intraoperatively using a stress maneuver, and cranial traction or atlantoaxial joint distraction was not necessary.
Results
Postoperative imaging revealed a reduction of the odontoid process and adequate brainstem decompression. The patient showed progressive improvement of his symptoms.
Conclusions
In selected cases, stress maneuvers for BI reduction can be a less morbid, easier, and replicable option within the already existing technical arsenal.
期刊介绍：
World Neurosurgery has an open access mirror journal World Neurosurgery: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review.
The journal''s mission is to:
-To provide a first-class international forum and a 2-way conduit for dialogue that is relevant to neurosurgeons and providers who care for neurosurgery patients. The categories of the exchanged information include clinical and basic science, as well as global information that provide social, political, educational, economic, cultural or societal insights and knowledge that are of significance and relevance to worldwide neurosurgery patient care.
-To act as a primary intellectual catalyst for the stimulation of creativity, the creation of new knowledge, and the enhancement of quality neurosurgical care worldwide.
-To provide a forum for communication that enriches the lives of all neurosurgeons and their colleagues; and, in so doing, enriches the lives of their patients.
Topics to be addressed in World Neurosurgery include: EDUCATION, ECONOMICS, RESEARCH, POLITICS, HISTORY, CULTURE, CLINICAL SCIENCE, LABORATORY SCIENCE, TECHNOLOGY, OPERATIVE TECHNIQUES, CLINICAL IMAGES, VIDEOS
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