후두골과를 통한 설하신경초종의 수술치료 - 수술수기 -
Modified Transcondylar Approach for a Case of Hypoglossal Neurinoma - Technique -
강맹호, 조성희, 이인숙,
소속 상세정보
강맹호 ( )
대구효성가톨릭대학교 의과대학 신경외과학교실
조성희 ( )
대구효성가톨릭대학교 의과대학 신경외과학교실
이인숙 ( )
대구효성가톨릭대학교 의과대학 신경외과학교실
KMID : 0359819980270050013
Abstract
요 약
두개강내 및 상경추부위에 아령모양으로 발생한 설하신경초종에 대하여 후두골과 경유법
을 변형하여 종양을 완전히 적출하였기에 접근방법 등에 대한 관련문헌고찰과 함께 보고한
다.
#초록#
Hypoglossal neurinomas are very rare and those which simultaneously involve the
intracanical the and extracranial portions are extremely unusual. Using the modified
transcondylar approach. the authors successfully removed a dumbbell-shaped hypoglossal
neurinoma at the intracranial portion and extending to the anterior upper portion of the
axis through the hypoglossal canal. After dividing the cervical musculatures into layers.
the vertebral artery was mobilized by opening the foramen transversarium and removing
the postero-lateral part of the occipital condyle. the lateral mass of the atlas and the
mastoid tip by means of a small lateral suboccipital craniotomy. This approach offers a
wide surgical field and a direct approach to the skullbase and upper anterior cervical
spine. After total removal of the hypoglossal neurinima, a very supplementary
autogenous bone graft was performed between the occipital bone and the lateral mass of
the atlas, using the corticocancellous bone fixed with small screws. Postoperatively, the
tumor was removed totally and there was no limitation on the cervical rotatory
movement. A review of cases of hypoglossal nerinimassand the surgical approaches
employed is employed is inculded in this paper.
키워드
Hypoglossal neurinoma; Transcondyar appoach; Dumbbell-shape.;
원문 및 링크아웃 정보
등재저널 정보