岛状胶质瘤透镜状动脉穿支的显微外科保存：两点顺行骨化技术

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY Acta Neurochirurgica Pub Date : 2025-01-11 DOI:10.1007/s00701-025-06422-w

Kuntal Kanti Das, Shreyash Rai, Ila Katyayan, Sudhakar Madhesiya, Arun Kumar Srivastava, Awadhesh Kumar Jaiswal

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引用次数: 0

摘要

背景：外侧透镜状纹状动脉（LSA）穿支的实质段，代表了岛状胶质瘤（IG）的内侧切除极限，仍然是一个挑战。目前所描述的方法是间接的，有时是不精确的。方法我们报告了一种顺行直接骨化技术，以识别这些微小的动脉在IGs的中间端，并说明2级星形细胞瘤的病例。患者在几乎全肿瘤切除后恢复平稳，术后没有任何LSA区域的放射缺血。结论逆行LSA骨化显微外科技术可用于治疗内缘较尖的岛状胶质瘤。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Microsurgical preservation of lenticulostriate artery perforators in insular glioma: the two point antegrade skeletonization technique

Background

Reaching parenchymal segments of the lateral lenticulostriate artery (LSA) perforators, which represent the medial resection limit in insular gliomas (IG), remains a challenge. The currently described methods are indirect and sometimes, imprecise.

Methods

We report an antegrade direct skeletonization technique to identify these tiny arteries at the medial end of IGs with an illustrative case of grade 2 astrocytoma. The patient recovered uneventfully following a near total tumor resection without any postoperative radiological ischemia in the LSA territory.

Conclusions

Our microsurgical technique of antegrade LSA skeletonization may be useful in insular gliomas with a sharp medial border.

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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.