巨大的脑膜瘤侵入洞穴鼻腔:"不可避免的"
Carlos Eduardo da Silva1,2, Tamara Vidaletti1
1Department of Neurosurgery and Skull Base Surgery, Hospital Ernesto Dornelles, Porto Alegre, Rio Grande do Sul, Brazil.
Journal of neurological surgery. Part B, Skull base
|March 19, 2025
概括
侵入洞穴鼻的巨型脑膜瘤 (GMICS) 的手术治疗提供了有效的结果,具有可接受的风险. 仔细的手术规划,特别是关于内动脉的介入,对于成功的结果和患者的生活质量至关重要.
科学领域:
- 神经外科 神经外科
- 在瘤学瘤学.
- 头骨底部手术 头骨底部手术
背景情况:
- 侵入洞穴鼻 (GMICS) 的巨型脑膜瘤由于瘤的大小和潜在的神经缺陷,存在重大外科挑战.
- 保持患者的生活质量是管理这些复杂瘤的首要目标.
研究的目的:
- 评估手术治疗GMICS的疗效和安全性.
- 分析影响手术结果的因素,包括切除程度和病死率.
主要方法:
- 对33名在2012年至2022年间手术治疗的GMICS患者的回顾性分析.
- 对外科手术细节的审查,切除的辛普森等级,瘤位置和死亡率.
- 使用卡诺夫斯基性能状态评估长期瘤控制和功能结果.
主要成果:
- 该研究包括25名女性和8名男性 (平均年龄56岁),平均随访时间为52个月.
- 在70%的病例中实现了辛普森等级I-III切除;94%是世卫组织1级脑膜瘤.
- 总体死亡率为3%;永久性和暂时性脑神经缺陷分别发生在21%和42%的人群中. 复发/再生长率为6%.
结论:
- 对GMICS进行手术治疗是一种有效的治疗方式,可接受的病死亡率和良好的长期瘤控制.
- 内动脉的干扰对于确定洞穴鼻腔切除的程度至关重要.
- 强制性的微手术实验室培训对于GMICS的安全手术管理至关重要.
相关概念视频
Cranial and Spinal Meninges
1.1K
The cranial and spinal meninges are complex protective structures surrounding the central nervous system (CNS), consisting of the brain and spinal cord. These meninges consist of the dura mater, the arachnoid mater, and the pia mater. They protect the CNS, provide structural support, and aid in circulating cerebrospinal fluid (CSF).
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...
1.1K
Veins of Head and Neck
1.1K
The blood drainage from the head and neck is primarily managed by three pairs of veins: the external jugular, internal jugular, and vertebral veins. The external jugular veins drain superficial scalp and face structures, passing over the sternocleidomastoid muscles to empty into the subclavian veins.
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
1.1K
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
Anatomy of the Brain: Ventricles
2.9K
There are hollow fluid-filled cavities known as ventricles deep inside the human brain. There are two lateral ventricles, one in each cerebral hemisphere, and each has three different projections — the anterior, inferior, and posterior horns visible from the lateral side. A thin membrane called the septum pellucidum separates the two lateral ventricles. The slender third ventricle in the diencephalon is connected to each lateral ventricle via a channel called the interventricular foramen.
2.9K


