Endoscopic endonasal resection of a medullary cavernoma: a novel case
Endoscopic endonasal resection of a medullary cavernoma: a novel case
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DOI：
10.1080/02688697.2017.1408777
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发表时间：
2019-11-02
影响因子：
1.1
通讯作者：
Agazzi, Siviero
中科院分区：
文献类型：
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作者：
Alikhani, Puya;Sivakanthan, Sananthan;Agazzi, Siviero
脑干海绵状血管瘤可能会带来极具挑战性的手术问题。内窥镜下经鼻入路治疗这些中脑和脑桥病变已有报道。在这篇文章中，作者提出了第一例髓海绵状海绵状瘤通过内窥镜下经斜坡入路切除。一位26岁女性，患有1.5厘米长的髓质海绵状海绵状肿瘤，表现为身体不平衡、吞咽困难和右半身无力。她被带到手术室接受鼻内窥镜下经斜坡切除术。她先前存在的神经缺陷在手术后最初恶化，但在三个月的随访中，她的神经完全恢复了。
Brainstem cavernomas can present very challenging operative problems. Endoscopic endonasal approaches to these lesions in the mesencephalon and pons have been described. In this article the authors present the first case of a medullary cavernoma resected by an endoscopic transclival approach. A 26 year-old woman with a 1.5 cm medullary cavernoma presented with imbalance, swallowing difficulty, and right hemibody weakness. She was taken to the operating room for endoscopic endonasal transclival resection. Her pre-existing neurologic deficits worsened initially after surgery, but at three-month follow-up she had made a full neurologic recovery.