Resection of the fourth ventricle tumors through lateral wall type of the cerebellomedullary fissure approach under endoscope
10.3760/cma.j.issn.1001-2036.2012.05.010
- VernacularTitle:内镜辅助下经外侧壁型小脑延髓裂入路切除第四脑室占位性病变
- Author:
Jun SHEN
;
Jing LUO
;
Hongwei CHENG
;
Chunguo FENG
;
Xiaojian WANG
;
Baochun CHENG
;
Jin XIAO
;
Liang ZHAO
;
Qingxin LI
;
Bo LV
- Publication Type:Journal Article
- Keywords:
Fourth ventricle;
Cerebellomedullary fissure approach;
Posterior inferior cerebellar artery;
Endoscope;
Neurophysiological monitoring
- From:
Chinese Journal of Microsurgery
2012;35(5):384-386
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the therapeutic effect of the fourth ventricle tumors through lateral wall type of the transcerebellomedullary fissure approach under endoscope.Methods Clinical data of 14 cases with the fourth ventricle lesions were analyzed retrospectively.All the patients were treated by lateral wall type of the transcerebellomedullary fissure approach surgery.The endoscope was used if the lesions develop to the aqueduct and hard to be exposed.Both neurophysiological monitoring and intraoperative ultrasound were used regularly.Results Tumors were totally removed in 12 cases,subtotally in 1,and partially in 1.All the patients were diagnosed in postoperative histopathology,including 4 medulloblastoma,three epidermoid cyst,two ependymoma,two hemangioblastoma,one meningioma,one cavernous hemangioma and 1 astrocytoma.Hypopnea occurred immediate after operation in 1 patient.Ventilatory support was performed by Ventilator,and the respiration was restored 1 day later.Normal cerebrospinal fluid circulation was return in all cases.Neither aggravation of preoperative symptoms nor nuclei injury related complication had been found.The follow-up interval between 3 months to 28 months,one patient was dead with unexplained,and 1 medulloblastoma patient was relapse.Conclusion Lateral wall type of the transeerebellomedullary fissure approach,under endoscope,combined with the usage of neurophysiological monitoring and intraoperative ultrasound,can degrade the surgical related complications such as facial palsy and amblyacousia.
