旁位经顶叶入路到侧脑室的优势半球：我怎么做

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY Acta Neurochirurgica Pub Date : 2024-12-03 DOI:10.1007/s00701-024-06382-7

Simone Grannò, Abdullah Al Awadhi, Adrien May, Philippe Bijlenga

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引用次数: 0

摘要

背景：由于脑室肿瘤位置较深且靠近关键的神经解剖结构，因此其手术治疗面临着重大挑战。手术策略包括经颞、半球和经顶骨入路，每种入路都有特定的风险。最近，我们报道了一例侧脑室脑膜瘤的旁脉经顶叶入路。方法我们提出了一种小开颅术，混合现实辅助下经沟旁经顶骨入路，在保留关键白质束的同时安全切除肿瘤。结论该技术提高了脑室内肿瘤切除术的安全性和有效性，特别是对有优势半球病变的年轻患者。

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Paramedian transparietal approach to the lateral ventricle in a dominant hemisphere: how I do it

Background

Intraventricular tumors present significant surgical challenges due to their deep location and proximity to critical neuroanatomical structures. Surgical strategies include the transtemporal, interhemispheric and transparietal approaches, each carrying specific risks. Recently, a paramedian transparietal approach to a lateral ventricle meningioma in the dominant hemisphere was described.

Methods

We propose a mini-craniotomy, mixed reality-assisted paramedian transparietal approach via a trans-sulcal route for safe tumor resection while preserving critical white matter tracts.

Conclusions

This technique enhances the safety and efficacy of intraventricular tumor resection, particularly in young patients with dominant hemisphere lesions.

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来源期刊

Acta Neurochirurgica 医学-临床神经学

CiteScore

4.40

自引率

4.20%

发文量

342

审稿时长

1 months

期刊介绍： The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.