攻击性复发性脑膜瘤的管理,使用一种结合的横面-面方法
Alan Ferrufino-Mejia1,2, Héctor A Rodríguez-Rubio1, Shirley Rocío Chavarría-Mejía3
1Neurological Surgery, Angeles Metropolitan Hospital, Mexico City, MEX.
Cureus
|October 6, 2025
概括
本案例研究表明,对于具有广泛的额外入侵的复杂状翼脑膜瘤,成功的单阶段手术方法. 量身定制的面技术实现了完整的瘤去除,同时保持了功能.
科学领域:
- 神经外科 神经外科
- 头骨底部手术 头骨底部手术
- 在瘤学瘤学.
背景情况:
- 状翼脑膜瘤虽然是良性的,但可以在本地具有侵略性.
- 外延伸到轨道和下腔复杂化了手术管理,增加了复发风险.
- 多学科规划对于完全切除和神经血管保存至关重要.
研究的目的:
- 为了呈现一个复发的状翼脑膜瘤的病例,具有广泛的多分支扩展.
- 为了证明一个结合的跨面和扩展的面方法的有效性.
- 为了突出针对复杂的头骨底部瘤的定制头骨面部技术.
主要方法:
- 使用了单阶段的综合跨面 (韦伯 - 费格森) 和扩展的面方法.
- 手术策略侧重于广泛的解剖暴露和细致的剖析.
- 多学科团队的参与确保了全面的手术前后护理.
主要成果:
- 实现了世卫组织I级脑膜膜瘤的总切除.
- 患者经历了神经功能和面部解剖学的保存.
- 手术后成像证实了瘤的完全去除,在监测期间没有复发的迹象.
结论:
- 量身定制的面方法是有效的管理复杂的头骨底部脑膜瘤与外延伸.
- 结合的跨面和面切除方法允许安全和完整的切除.
- 这种手术策略提供了一个可行的选择,可以实现瘤控制,同时保持功能.
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