颈椎脑膜瘤C1椎板切除术后自发性C1前弓骨折1例报告及文献复习

S. Bejell, Sviridova Ge
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引用次数: 0

摘要

三叉神经痛是影响全世界数百万人生活质量的常见疾病。微血管减压的引入大大增加了神经外科医生应对这种可怕疾病的装备。一些解剖学变异,其中巨大的扩张性基底动脉和椎动脉压迫Vth神经是很难解决的。已经提出了许多建议,如筋膜血管固定术、特氟隆血管固定术和基底颞下重新排列来解决这种情况。我们提出了一种简单的技术,用从血管移植物上取下的聚四氟乙烯环来保护神经免受动脉的影响,从而将其从血管的脉动压力中解放出来。我们在这里介绍我们对这种新颖技术的经验。
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Spontaneous C1 Anterior Arch Fracture Following C1 Laminectomy for Cervical Meningioma: A Case Report and Review of Literature
Trigeminal Neuralgia is a common condition affecting the quality of life of millions across the world. The introduction of Microvascular decompression has significantly added to the armamentarium of the neurosurgeon in tackling this dreaded disease. Some anatomical variants where large ectatic basilar and vertebral arteries compressing on the Vth nerve are challenging to tackle. Many suggestions such as fascia vasculopexy, Teflon vasculopexy and sub temporal realignment of the basilar have been proposed to address the situation. We propose a simple technique where Teflon rings taken from a vascular graft are used to shield the nerve from the arteries in question, thereby liberating it from the pulsatile pressure of the vessels. We present our experiences regarding this novel technique here.
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