INFRATEMPORAL FOSSA INTERDURAL APPROACH FOR TRIGEMINAL NEURINOMAS

被引：51
作者：
GOEL, A
机构：
[1] Department of Neurosurgery, K.E.M. Hospital, Parel, Bombay
来源：
ACTA NEUROCHIRURGICA | 1995年 / 136卷 / 1-2期
关键词：
TRIGEMINAL NEURINOMA; INFRATEMPORAL FOSSA; PETROCLIVAL TUMOR; CAVERNOUS SINUS;
D O I：
10.1007/BF01411444
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
A small craniectomy in the infratemporal fossa incorporating the foramen ovale was used to resect 4 large trigeminal neurinomas. The tumour extended from the posterior cranial fossa and involved Meckel's cave and the lateral wall of the cavernous sinus in each instance. The dural sheath around the mandibular nerve and Gasserian ganglion was opened to expose the entire lesion. The head position and the surgeon's view of the tumour were modified to obtained a basal view. The craniectomy at this strategic site provided an avenue for control of the carotid artery at the petrous apex, avoided the need for brain retraction and permitted safe and complete resection of the rumours. The approach appears to be ideal for selected cases of trigeminal neurinomas.
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收藏
页码：99 / 102
页数：4
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