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首页> 外文期刊>Neurosurgical focus >Microsurgical resection of intramedullary spinal cord cavernous malformation. Operative video and technical nuances
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Microsurgical resection of intramedullary spinal cord cavernous malformation. Operative video and technical nuances

机译:显微外科手术切除髓内脊髓海绵状畸形。手术录像和技术细微差别

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摘要

Intramedullary spinal cord cavernous malformations account for approximately 5% of all intraspinal lesions. These lesions can present with either acute neurological compromise secondary to hemorrhage inside the spinal cord, or with chronic progressive myelopathy due to repeated microhemorrhages. Surgical resection of spinal cord cavernous malformations remains the definitive treatment strategy for symptomatic lesions. Because of the intimate relationship with surrounding eloquent neural tissue, these lesions can be technically challenging to remove with a significant risk for morbidity. In this operative video, the author demonstrates an illustrative step-by-step technique for microsurgical resection of a large intramedullary spinal cord cavernous malformation at C4-5 causing progressive myelopathy. Complete resection was achieved without neurologic compromise. The operative technique and surgical nuances, including the surgical approach, intradural cavernoma removal, and spinal stabilization are illustrated.
机译:髓内脊髓海绵状畸形约占所有脊柱内病变的5%。这些病变可能伴有继发于脊髓内出血的急性神经系统损害,或由于反复的微出血而导致的慢性进行性脊髓病。脊髓海绵状畸形的手术切除仍是对症性病变的最终治疗策略。由于与周围有力的神经组织的密切关系,这些病变在技术上难以去除,且具有很高的发病率。在这个手术录像中,作者演示了一种示例性的分步技术,用于显微手术切除C4-5处引起进行性脊髓病的大型髓内脊髓海绵状畸形。完全切除无神经功能受损。包括手术方法,硬膜内海绵状瘤切除术和脊柱稳定术在内的手术技术和手术细节都得到了说明。

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