关键词: Carotid triangle Jugular foramen Schwannoma Skull base Surgical treatment

Mesh : Humans Female Neurilemmoma / surgery diagnostic imaging pathology Jugular Foramina / surgery Microsurgery / methods Neurosurgical Procedures / methods Skull Base Neoplasms / surgery diagnostic imaging pathology Treatment Outcome Magnetic Resonance Imaging Middle Aged Adult

来  源:   DOI:10.1007/s00701-024-06159-y

Abstract:
BACKGROUND: Samii Type-D jugular foramen schwannomas (JFSs) are the most challenging for neurosurgeons because of anatomical complexity. Various neurosurgical approaches have been described to gain access to JF.
METHODS: We present a female with incidental diagnosis of the Type-D JFS. Complete radical resection was achieved via the carotid triangle approach without any bony structure removal. And the patient was discharged asymptomatic and without new-developed neurological deficits.
CONCLUSIONS: The carotid triangle is a secure and appropriate approach for some cases of selected Type-D JFSs. However, the specific indications of this approach should be further explored and investigated.
摘要:
背景:SamiiD型颈静脉孔神经鞘瘤(JFSs)由于解剖学的复杂性,对神经外科医生来说是最具挑战性的。已经描述了各种神经外科方法来获得JF。
方法:我们介绍了一名女性,其附带诊断为D型JFS。通过颈动脉三角形入路实现了完全的根治性切除,而没有任何骨结构去除。患者无症状出院,没有新出现的神经功能缺损。
结论:对于某些选定的D型JFSs病例,颈动脉三角是一种安全且合适的方法。然而,这种方法的具体适应症应该进一步探索和调查。
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