儿科脑病变:根据骨参与量身定制的方法
Arianna Barbotti1, Ignazio G Vetrano1,2, Cecilia Casali1
1Department of Neurosurgery, Fondazione IRCCS Istituto Neurologico Carlo Besta, 20133 Milan, Italy.
Children (Basel, Switzerland)
|November 27, 2024
概括
建议早期手术切除儿科脑病变,以完成瘤切除和诊断. 最少的侵入性技术是首选的,对于较大的缺陷,可以进行自身骨移植.
科学领域:
- 儿科神经外科 儿科神经外科
- 手术瘤学手术瘤学
- 儿科病理学 儿科病理学
背景情况:
- 顶病变在儿童中很常见,皮质和表皮质囊是最常见的.
- 由于生长缓慢,管理是有争议的,但早期切除可以防止并发症和艾滋病诊断.
- 组织学诊断可以揭示与全身性疾病的联系.
研究的目的:
- 为了评估小儿骨瘤的外科治疗.
- 分析早期切除和重建技术的结果.
- 为了将组织病理学与临床表现和治疗相关联.
主要方法:
- 对88名儿童进行脑瘤手术治疗的回顾性研究 (2011年1月至2023年4月).
- 收集的数据:年龄,性别,症状,并发症,病变特征,手术方法,组织病理学,复发.
- 手术技术包括简单的皮肤切口,骨质水泥头骨整形和自身骨移植.
主要成果:
- 最常见的病变:皮质囊,肌纤维瘤,朗格汉斯细胞囊.
- 在64例病例中完成了总体切除;13例需要骨水泥骨整形.
- 11名患有大病变 (>2厘米) 和全侵蚀的患者接受了自主骨移植.
结论:
- 建议早期切除儿科脑病变,以完全切除并确定诊断.
- 对大多数病变来说,最少的侵入性手术是可行的.
- 用自主骨头进行的头骨整形术是大缺陷与完全骨侵蚀的首选技术.
更多相关视频
11:58Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
15.5K
03:13Author Spotlight: A Single-Entry Point Endoscopic Intraventricular Approach for Third Ventriculostomy and Pineal Biopsy
Published on: June 28, 2024
570
相关概念视频
Sutures of the Skull
6.3K
The human skull is composed of several bones that come together to protect the brain and support the structures of the face. The junctions where these bones meet are called sutures.
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...
6.3K
Cranial Bones: Lateral View
2.0K
The lateral view of the cranium is dominated by temporal, sphenoid, and ethmoid bones.
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
2.0K
Overview of the Skull
4.3K
The cranium (skull) is the skeletal structure of the head that supports the face and protects the brain. It is subdivided into the facial bones and the brain case, or cranial vault. The facial bones underlie the facial structures, form the nasal cavity, enclose the eyeballs, and support the teeth of the upper and lower jaws.
The cranial vault surrounds and protects the brain and houses the middle and inner ear structures. This cavity is bounded superiorly by the rounded top of the skull, which...
The cranial vault surrounds and protects the brain and houses the middle and inner ear structures. This cavity is bounded superiorly by the rounded top of the skull, which...
4.3K
Cranial Bones: Superior and Posterior View
2.0K
The superior view of the cranium shows the frontal and paired parietal bones.
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...
2.0K
