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大脑和脊髓的斯万诺玛
Venelin Gerganov1,2, Mihail Petrov3, Teodora Sakelarova4
1International Neuroscience Institute, Hannover, Germany.
Advances in experimental medicine and biology
|July 15, 2023
概括
垂体神经瘤 (VS) 是第八大脑神经的良性瘤. 管理选择包括观察,手术或放射性手术,重点是保持神经功能和生活质量.
科学领域:
- 神经外科 神经外科
- 神经学 神经学
- 在瘤学瘤学.
背景情况:
- 斯瓦诺瘤是由头骨或脊髓神经的斯瓦恩细胞引起的良性瘤.
- 来自第八个头骨神经的静脉瘤 (VS) 是最常见的头骨类型,占内瘤的很大比例.
- VS经常出现听力损失,耳和不平衡等症状,原因是周围神经结构的压缩.
研究的目的:
- 审查前庭神经瘤的诊断和管理.
- 讨论当前的治疗方式,包括保守的管理,手术方法和放射性手术.
- 突出VS管理中的功能成果和生活质量的重要性.
主要方法:
- 关于前置性神经瘤诊断和治疗的文献综述.
- 讨论用于VS诊断的成像技术,主要是MRI.
- 对不同管理策略的分析:观察,手术切除 (例如,逆西格体下垂体方法) 和放射性手术 (玛刀,网络刀,线性加速器).
主要成果:
- 磁力共振成像是诊断VS的黄金标准.
- 对VS的管理选择是多样化的和有争议的,包括"观察和等待",手术和放射性手术.
- 联合手术和放射性手术越来越多地用于更大的瘤.
- VS管理的主要目标是保持神经功能,如听力和面部神经功能.
结论:
- 最佳的VS管理需要仔细考虑个体患者的因素,包括风险/益处比和预后.
- 手术和放射性手术的目的是保护神经功能并改善生活质量.
- 手术后的随访成像对于检测瘤复发至关重要,在微手术后报告的复发率为0.5-5%.
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