PDF(Pubmed)
Abstract：
UNASSIGNED: Deep cavernomas of eloquent areas, located in the region of the basal nuclei and thalamus, account for 9 to 36% of these encephalic vascular malformations. Internal capsule cavernomas are particularly challenging, as they are surrounded by important projection fibers and their manipulation can lead to permanent deficits. To demonstrate through surgical cases that cavernomas of the internal capsule can be approached by frontal craniotomy, via the superior frontal sulcus, in a curative manner and with low morbidity.
UNASSIGNED: We presented two cases of cavernomas of the internal capsule operated, whose treatment was microsurgical resection via frontal craniotomy and access to the lesion via the superior frontal sulcus, described step-by-step. To elucidate the rationale behind the decision, we used preoperative images with an emphasis on the patients\' tractography and the importance of comparing these images with anatomical specimens dissected in the neuroanatomy and microsurgery laboratory.
UNASSIGNED: The two cases of internal capsule cavernomas, one in the anterior limb and the other in the posterior limb, were treated surgically via the superior frontal sulcus.
UNASSIGNED: Both patients showed radiological cure and clinical improvement in the post-operative segment. The patient consented to the procedure and to the publication of his/her image. Treatment of internal capsule cavernomas via the superior frontal sulcus has proven to be a safe and effective option.
UNASSIGNED: We presented two cases of cavernomas of the internal capsule operated, whose treatment was microsurgical resection via frontal craniotomy and access to the lesion via the superior frontal sulcus, described step-by-step. To elucidate the rationale behind the decision, we used preoperative images with an emphasis on the patients\' tractography and the importance of comparing these images with anatomical specimens dissected in the neuroanatomy and microsurgery laboratory.
UNASSIGNED: The two cases of internal capsule cavernomas, one in the anterior limb and the other in the posterior limb, were treated surgically via the superior frontal sulcus.
UNASSIGNED: Both patients showed radiological cure and clinical improvement in the post-operative segment. The patient consented to the procedure and to the publication of his/her image. Treatment of internal capsule cavernomas via the superior frontal sulcus has proven to be a safe and effective option.
摘要：
■雄辩地区的深海绵体，位于基底核和丘脑的区域，占这些脑血管畸形的9％至36％。内囊海绵体瘤特别具有挑战性，因为它们被重要的投射纤维包围，它们的操纵会导致永久性缺陷。通过手术病例证明内囊海绵状瘤可以通过额颅切开术来治疗，通过额上沟,以治愈的方式和低发病率。
■我们介绍了两例手术的内囊海绵瘤，其治疗方法是经额开颅手术切除并经额上沟进入病灶，一步一步地描述。为了阐明决定背后的理由，我们使用术前图像，重点是患者的纤维束造影，以及将这些图像与神经解剖学和显微外科实验室解剖的解剖标本进行比较的重要性。
■两例内囊海绵体瘤，一个在前肢，另一个在后肢，经额上沟手术治疗.
■两名患者在术后阶段均表现出放射学治愈和临床改善。患者同意该程序并同意发表他/她的图像。通过额上沟治疗内囊海绵状瘤已被证明是一种安全有效的选择。
■我们介绍了两例手术的内囊海绵瘤，其治疗方法是经额开颅手术切除并经额上沟进入病灶，一步一步地描述。为了阐明决定背后的理由，我们使用术前图像，重点是患者的纤维束造影，以及将这些图像与神经解剖学和显微外科实验室解剖的解剖标本进行比较的重要性。
■两例内囊海绵体瘤，一个在前肢，另一个在后肢，经额上沟手术治疗.
■两名患者在术后阶段均表现出放射学治愈和临床改善。患者同意该程序并同意发表他/她的图像。通过额上沟治疗内囊海绵状瘤已被证明是一种安全有效的选择。
