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Endoscopic anatomic features of the triangular recess.

机译:三角形凹口的内窥镜解剖特征。

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OBJECTIVE: To describe the morphological and topographic features of the triangular recess (TR) in the anterior wall of the third ventricle and the pathological conditions that allow its observation during ventricular endoscopic neuronavigation. METHODS: A systematic review of records and operative videotapes for 145 patients who underwent endoscopic third ventriculostomy was performed. RESULTS: The TR could be recognized in five cases of hydrocephalus, each caused by a different underlying pathological condition. The approach was precoronal in four cases and suboccipital in one. The morphological and topographic features of the TR and adjacent structures varied among the different cases. CONCLUSION: Although it is seldom reported in neuroanatomy handbooks and is not readily accessible under normal conditions, the TR is a characteristic structure of the third ventricle, which might become apparent in several conditions that produce hydrocephalus. Neurosurgeons who perform neuroendoscopy should be awareof this structure and of the situations that cause its deformation and allow its observation during endoscopic neuronavigation.
机译:目的:描述第三脑室前壁三角形凹陷(TR)的形态和地形特征,以及允许在心内镜内窥镜导航中观察到的病理条件。方法:对145例行内镜下第三脑室造口术的患者的记录和手术录像带进行系统回顾。结果:在5例脑积水病例中可以识别出TR,每个病例都是由不同的潜在病理状况引起的。该方法在4例病例中是冠状动脉前病变,在1例是枕下病变。在不同情况下,TR和邻近结构的形态和地形特征有所不同。结论:尽管在神经解剖学手册中很少报道,并且在正常情况下不易获得,但TR是第三脑室的特征性结构,在某些导致脑积水的情况下可能会变得很明显。进行神经内窥镜检查的神经外科医生应了解这种结构以及引起其变形的情况,并在内窥镜神经导航期间对其进行观察。

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