桥小脑角区胆脂瘤继发三叉神经痛
Chinese Journal of Minimally Invasive Neurosurgery（2021）
Abstract
目的 总结桥小脑角区胆脂瘤继发三叉神经痛(trigeminal neuralgia,TN)的诊治经验.方法 回顾性分析29例桥小脑角区(cerebellopontine angle,CPA)胆脂瘤继发TN病例资料,均采用枕下乙状窦后入路切除肿瘤.结果 肿瘤全切除21例(72.41％),大部分切除8例(27.59％).发现责任血管4例(13.79％),未见明确责任血管25例(86.21％).术后随访:治愈23例(79.31％),明显缓解5例(17.24％),部分缓解1例(3.45％).术后出现并发症8例(27.59％).结论 CPA胆脂瘤继发TN发病年龄较年轻,手术切除肿瘤是有效治疗手段.
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