视觉通路-下丘脑质瘤的内镜内腔方法:儿科病例报告和系统性审查
Nicolás Rincón-Arias1, Paula A Pulido1, Yamila Micaela Zampini2
1Department of Neurosurgery, Fundación Universitaria de Ciencias de la Salud, Hospital de San José - Sociedad de Cirugía de Bogotá, Bogotá, D.C., Colombia; Department of Neurosurgery, Fundación Universitaria de Ciencias de la Salud, Hospital Infantil Universitario de San José, Bogotá D.C., Colombia.
概括
内镜内视疗法 (EEA) 提供了对光通路-下丘脑质瘤 (OPHGs) 的安全接入. 虽然总切除率低于其他方法,但EEA提供了临床改善,并保留了神经解剖学.
科学领域:
- 神经外科 神经外科
- 在瘤学瘤学.
- 眼科医生 眼科 眼科
背景情况:
- 内镜内视疗法 (EEA) 提供精确的可视化和最小的脑操纵,用于光通路-下丘脑质瘤 (OPHGs).
- 由于临床轨迹的变化,OPHG的最佳神经外科管理策略仍在讨论中.
研究的目的:
- 评估内镜内视疗法 (EEA) 在治疗视觉通路-下丘脑质瘤 (OPHGs) 中的疗效和结果.
- 系统地审查与EEA管理的OPHG的现有文献.
主要方法:
- 从2007年1月到2024年6月,对用EEA处理的OPHG进行了病例报告的系统审查.
- 文学搜索包括PubMed,Lilacs和Embase数据库,专注于英语和西班牙语的报告.
- 分析包括30个病例,以评估临床表现,手术切除程度和组织学发现.
主要成果:
- 大多数患者 (86.6%) 呈现视觉障碍,其次是头痛 (43.3%) 和内分泌问题 (30%).
- 手术切除包括20%的总体切除,40%的部分切除,20%的近乎总体切除.
- 皮洛细胞性星细胞瘤是主要的组织学 (73.3%),表明不同的临床表现.
结论:
- 欧洲经济区为OPHG治疗提供了安全进入视觉通路和下丘脑区域的机会.
- 尽管与替代方法相比,EEA的总切除率较低,但EEA显示出显著的临床改善和神经解剖学保存.
- 对于精选的OPHG病例来说,EEA是一个有价值的外科选择,强调需要量身定制的管理.
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