Surgery Approaches to Brainstem Cavernous Malformations.
The Journal of craniofacial surgery(2015)
摘要
BACKGROUND AND PURPOSE:To summarize our experience in surgery approach to brainstem cavernous malformation (BSCM).
METHODS:A review of 23 consecutive patients with BSCM receiving surgical resection in our center between July of 2003 and June of 2014 was performed.
RESULTS:Suboccipital approach, retrosigmoid approach, infratentorial-supracerebellar approach, Poppen approach, pterional approach, Kawase approach, and interhemispheric transcallosal-third ventrical approach were applied, of which the last 2 approaches being firstly reported in BSCM surgery. Gross total resection was achieved in 22 patients, whereas subtotal resection in 1. Neurologic function was improved in 15 patients, unchanged in 7 patients, and deteriorated in 1 patient. During a mean follow-up of 3.5 years, no recurrence occurred.
CONCLUSIONS:Proper surgery approach is important to assure total resection, protect normal vital structures, and avoid recurrence.
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surgery approaches
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