Anterior Transpetrosal Approach for Pontine Cavernous Angioma
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概要
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A 58-year-old male patient presented with headache and unsteady gait. Magnetic resonance imaging revealed hemorrhage from a pontine cavernous angioma. The patient experienced stepwise aggravation of symptoms due to repeated hemorrhages. We decided to surgically remove the pontine cavernous angioma through an anterior transpetrosal approach, since the angioma and hematoma were located near the ventrolateral surface of the pons. The brain stem was incised at a site caudal to the trigeminal nerve and the hematoma and angioma were totally removed. No additional neurological deficits were observed following surgery. Brain stem cavernous angiomas are usually removed via a trans-fourth ventricle or lateral suboccipital approach. However, these approaches may not be appropriate if the angioma is located ventrally to the pons. We propose that the anterior transpetrosal approach is the method of choice for ventrally located pontine cavernous angioma.
- 日本脳神経外科学会の論文
- 2002-06-15
著者
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SASAKI Tomio
Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University
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SAITO Nobuhito
Department of Neurosurgery, The University of Tokyo Hospital
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KIRINO Takaaki
Department of Neurosurgery
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Sasaki Tomio
Department Of Neurosurgery Faculty Of Medicine University Of Tokyo
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Kirino Takaaki
Department Of Neurosurgery University Of Tokyo Hospital
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Kirino Takaaki
Department Of Neurosurgery Faculty Of Medicine Tokyo University
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Sasaki Tomio
Department Of Neurosurgery Gunma University School Of Medicine:department Of Neurosurgery University
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Saito Nobuhito
Department Of Neurosurgery Faculty Of Medicine Tokyo University
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Saito Nobuhito
Department Of Neurosurgery Gunma University School Of Medicine:department Of Neurosurgery University
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Kirino Takaaki
Department Of Neurosurgery Showa General Hospital:department Of Neurosurgery Faculty Of Medicine Uni
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Yuyama Ryuji
Department of Neurosurgery, Tokyo Metroporitan Fuchu Hospital
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Yuyama Ryuji
Department Of Neurosurgery Tokyo Metroporitan Fuchu Hospital
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Yuyama Ryuji
Department Of Neurosurgery University Of Tokyo Hospital
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CHIKUI Emiko
Department of Neurosurgery, Suwa Chuou Hospital
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Chikui Emiko
Department Of Neurosurgery University Of Tokyo Hospital
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Chikui Emiko
Department Of Neurosurgery Suwa Chuou Hospital
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Sakamoto Tetsuya
Japan Neurotrauma Data Bank (jntdb) Committee:japan Society Of Neurotraumatology The Japanese Counci
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Sakai Nobuyuki
Department Of Neurosurgery Kobe City Medical Center General Hospital
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Sasaki Tomio
Department Of Neurosurgery Faculty Of Medicine Tokyo University
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Sasaki Tomio
Department Of Neurosurgery Showa General Hospital:department Of Neurosurgery Faculty Of Medicine Uni
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