Microsurgery of pediatric the fourth ventricle tumor through cerebellomedullary fissure approach
- VernacularTitle:经小脑延髓裂入路显微手术切除儿童第四脑室肿瘤
- Author:
Lixuan YANG
;
Dejin SHI
;
Yuquan HU
- Publication Type:Journal Article
- Keywords:
Tumor;
The fourth ventricle;
Microsurgery;
Child
- From:
Chinese Journal of Microsurgery
2000;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical effect of cerebellomedullary fissure approach to resect the fourth ventricle tumors. Methods Eightten cases of the fourth ventricle tumors that have been operated on through the posterior fossa craniotomy and cerebellomedullary fissure approach were analyzed retrospectively. Results Total turmor resection was achieved in 13 patients and subtotal in 5 patients. All patients were conscious after surgery. None of them presented mutism. Three cases suffered from postoperative hydrocephalus, ventriculoperi-toneal hunts were applied in 2 cases, another case died of acute obstructive hydrocephalus. Conclusion The cerebellomedullary fissure approach can provide a sufficent exposure to resect the fourth ventricle tumor without incision of the inferior vermis.