Surgical neurology · 2008
Small callosal fenestration: anatomical and clinical study.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Yang Yang, Shao Yi, Wang Jiangang, Wang Ping, Li Xingang
Аннотация
BACKGROUND: Traditional callosotomy is associated with neurologic deficits due to surgical damage of corpus callosum and nearby brain structures. To reduce this damage, we studied a small callosal fenestration in cadaver heads and clinical patients.
METHODS: Fifteen cadaver heads were used to study the anatomy of corpus callosum and nearby brain structures. Based on anatomical study, small callosal fenestration was first tested in 5 cadaver heads and then applied to 7 consecutive clinical patients.
RESULTS: In cadaver heads, a 1.5 x 1.5-cm (length x width) small callosal fenestration could provide adequate surgical exposure required for most transcallosal operations. In patients, a 1.0 to 1.5 x 1.0 to 1.7-cm small callosal fenestration provided better surgical exposure than those provided by 2.5 to 3.5 cm of traditional callosotomies in our experience. During 6 months of follow-up, no obvious neurologic deficits related to surgical damage were observed in our patients who underwent small callosotomy.
CONCLUSION: Small callosal fenestration is a promising alternative to traditional callosotomy in neurosurgery, which requires further investigation.
METHODS: Fifteen cadaver heads were used to study the anatomy of corpus callosum and nearby brain structures. Based on anatomical study, small callosal fenestration was first tested in 5 cadaver heads and then applied to 7 consecutive clinical patients.
RESULTS: In cadaver heads, a 1.5 x 1.5-cm (length x width) small callosal fenestration could provide adequate surgical exposure required for most transcallosal operations. In patients, a 1.0 to 1.5 x 1.0 to 1.7-cm small callosal fenestration provided better surgical exposure than those provided by 2.5 to 3.5 cm of traditional callosotomies in our experience. During 6 months of follow-up, no obvious neurologic deficits related to surgical damage were observed in our patients who underwent small callosotomy.
CONCLUSION: Small callosal fenestration is a promising alternative to traditional callosotomy in neurosurgery, which requires further investigation.