경 후두과 극 측방접근법으로 치료한 추골동맥의 해리성 동맥류
Intradural Dissection Aneurysms Treated by Extreme Lateral Transcondylar Approach(2 cases)
조백기, 민우성, 노영철, 강종후,
소속 상세정보
조백기 ( )
가톨릭대학교
민우성 ( )
가톨릭대학교
노영철 ( )
가톨릭대학교
강종후 ( )
가톨릭대학교
KMID : 0359819960250010163
Abstract
We expierenced two cases of intradural verteral artery dissecting aneurysms. The presenting symptom was subarachnoid hemorrhage in one case and ischemic symptom in the other The preoperative angiographic findings typically showed fusiform
dilatation and
proximal and/or distal narrowing of the affected artery In one case. the vertebral artery was clipped distal to the PICA and in the other case trapping was performed through the extreme lateral transcondylar approaches. This approach permits oa
control
of the aneurysm through the direct view of whole length of the vertebral artery. lower cranial nerves and ventral brain stem in order to obtain ample view and to save the lower cranial nerves and perforating vessels. jugular tubercle should be
sufficiently drilled out. Postoperitive neurorlogical outcomes were favorable except mild hoarseness for some period in trapping case.
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