دورية أكاديمية
A Sufficient Surgical Window for Deep-Seated Extracranial Schwannomas in the Craniocervical Junction by the Anterolateral Approach
| العنوان: | A Sufficient Surgical Window for Deep-Seated Extracranial Schwannomas in the Craniocervical Junction by the Anterolateral Approach |
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| المؤلفون: | Yu-ichiro Ohnishi, Nobuhiko Nakajima, Sho Fujiwara, Takashi Moriwaki, Hideyuki Arita, Haruhiko Kishima |
| المصدر: | Neurospine, Vol 17, Iss 2, Pp 453-460 (2020) |
| بيانات النشر: | Korean Spinal Neurosurgery Society, 2020. |
| سنة النشر: | 2020 |
| المجموعة: | LCC:Neurology. Diseases of the nervous system |
| مصطلحات موضوعية: | atlanto-occipital joint, skull base, schwannoma, atlanto-axial joint, Neurology. Diseases of the nervous system, RC346-429 |
| الوصف: | Care should be taken regarding surrounding anatomic structures during access to deep-seated extracranial schwannomas in the craniocervical junction (CCJ). Herein, we present surgical tips for extracranial schwannomas in the CCJ using the anterolateral approach. A retrospective review was performed of 3 cases of surgical treatment of extracranial schwannomas in the CCJ by the anterolateral approach, which is a presternomastoid retrojugular route to the CCJ. The combination of neck rotation and reflection of the sternocleidomastoid muscle presented a sufficient, shallow surgical field for the CCJ. We could identify tumors along the accessory nerves and internal jugular veins, and had sufficient rostrocaudal working space to resect the tumors. Two cases were enucleated total resection and 1 was subtotal resection. Two patients experienced transient postoperative vocal cord partial paralysis and 1 had transient dysphagia. These neurological complications improved within 1 month. The anterolateral approach can provide a shallow and sufficient rostral and caudal surgical window. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2586-6583 2586-6591 |
| Relation: | http://www.e-neurospine.org/upload/pdf/ns-1938270-135.pdf; https://doaj.org/toc/2586-6583; https://doaj.org/toc/2586-6591 |
| DOI: | 10.14245/ns.1938270.135 |
| URL الوصول: | https://doaj.org/article/0a3a921a436740af9674cd8c1c4885c6 |
| رقم الأكسشن: | edsdoj.0a3a921a436740af9674cd8c1c4885c6 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 25866583 25866591 |
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| DOI: | 10.14245/ns.1938270.135 |