Application of endoscopic transsphenoidal approach to true type transsellar transsphenoidal meningoencephalocele in an adult: A case report and literature review
Application of endoscopic transsphenoidal approach to true type transsellar transsphenoidal meningoencephalocele in an adult: A case report and literature review
复制标题
内镜经蝶入路治疗成人真型经蝶鞍脑膜脑膨出一例并文献复习
DOI：
10.1007/s00701-012-1346-9
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
Yoshida K
中科院分区：
文献类型：
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作者：
Saito K;Toda M;Tomita T;Sano K;Ogawa K;Yoshida K
经蝶窦脑膜脑膨出（TTSME）的真正型表现为疝囊从颅内经鞍底延伸至鼻咽部。真正型是最严重和最难处理的，特别是当疝囊包含重要结构时，如大脑前动脉、垂体、视神经、下丘脑和第三脑室。据报道，真正类型TTSME的手术结局较差。我们描述了一个成功的情况下，内窥镜修复一个36岁的男子与真正的类型TTSME。我们的成功与内窥镜修复的真正型TTSME在成人是第一次报告的情况。我们相信，内窥镜下经蝶入路与其他显微手术入路相比，可以减少手术创伤，并提供可接受的手术结果。
Of the transsellar transsphenoidal meningoencephaloceles (TTSMEs), the true type presents with the hernial sac extending from the intracranium to the epipharynx through the sellar floor. The true type is the most serious and difficult to manage, especially when the hernial sac contains vital structures, such as the anterior cerebral artery, pituitary gland, optic nerve, hypothalamus, and third ventricle. Surgical outcome for true type TTSME is reported to be poor. We describe a successful case of endoscopic repair for a 36-year-old man with true type TTSME. Our success with endoscopic repair for true type TTSME in an adult is the first reported case. We believe that the endoscopic transsphenoidal approach allows less invasive surgery and provides an acceptable operative outcome in comparison with other microsurgical approaches.