Application of spiral computerized tomographic angiography in microsurgery of separating craniopagus twins
- VernacularTitle:三维螺旋CT血管造影检查在连头婴显微分离手术中的应用
- Author:
Chunlong KE
;
Jiaping LIN
;
Chao YANG
- Publication Type:Journal Article
- Keywords:
Craniopagus;
Spiral computerized tomographe;
Angiography;
Microsurgery
- From:
Chinese Journal of Microsurgery
2000;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the role of 3 D spiral computerized tomographic angiography (SCTA) in microsurgery of separating craniopagus twins Methods A case of craniopagus twins underwent spiral CTA Image reconstruction was made by shaded surface display Result SCTA demonstrated osseous fusion in twins skull Parts of bone and dura mater were found to be absent in the fused area Two parts of brain tissues were linked together, and some area were fused Twins' one third of posterior superior sagittal sinuses were fused and converged into a common sinus One side of their transverse sinuses were fused Conclusion SCTA can clearlly reveal the abnormalities of skull, cerebrum, intracranial blood vessels, especially the stereostruction between intracranial blood vessels and skull SCTA is useful for intraoperative bone design and decision of surgical route and has important value in formulating surgical plans
