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首页> 外文期刊>Neurosurgical focus >Petrosal approaches to brainstem cavernous malformations
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Petrosal approaches to brainstem cavernous malformations

机译：北方脑干畸形畸形的方法

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Object. Although they provide excellent ventral and lateral exposure of the brainstem, petrosal approaches to brainstem cavernous malformations (CMs) are infrequently reported. Methods. The authors reviewed their experience with petrosal approaches to brainstem CMs in combination with a comprehensive review of the literature to elucidate resection rates, complication rates, and outcomes. Results. Including their own results, the authors found 65 cases in 20 reports of brainstem CMs treated with petrosal approaches. The specific approaches were posterior petrosal in 37 cases (57%), anterior petrosal in 17 (26%), extended posterior petrosal in 10 (15%), and a combined petrosal approach in 1 case (2%). For 50 cases in 16 reports with detailed outcome information, the overall complete resection rate was 90%, with early postoperative morbidity reported in 30% of cases and permanent morbidity in 14%. The rate of CSF leakage was 6%. Conclusions. The versatile petrosal approaches to brainstem CMs are associated with good outcomes and an acceptable morbidity rate. More expansive lesions can be approached using a combination of the standard anterior and posterior petrosal approach, preserving hearing and avoiding the greater complication rates associated with extended posterior petrosal approaches.
机译：目的。虽然它们提供了良好的腹部腹部和侧向暴露，但脑干畸形畸形（CMS）的岩石方法很少报道。方法。作者审查了他们在北方脑干CMS的汽油途径方面审查了经验，并结合了对文献的全面审查，以阐明切除率，并发症率和结果。结果。包括自己的结果，作者发现了65例用岩石方法处理的脑干CMS报告。特定方法是37例（57％），17例（26％）的前岩石，10（15％）的延长后贫民（15％），1例（2％）。 50例报告中有50例，具有详细的结果信息，总体完全切除率为90％，术后发病率早期30％，患者和永久性发病率为14％。 CSF泄漏的速率为6％。结论。脑干CMS的多功能汽油方法与良好的结果和可接受的发病率有关。可以使用标准前岩石和后岩石方法的组合来接近更多的膨胀病变，保持听力和避免与延长的后岩化方法相关的更大的并发症率。

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