Direct Approach to the Ventrolateral Medulla for Cavernous Malformation : Case Report
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概要
- 論文の詳細を見る
A 49-year-old man presented with symptomatic cavernous malformation in the ventrolateral portion of the medulla oblongata manifesting as left-sided numbness and gait disturbance. Neurological examination disclosed sensory disturbance on the left, cerebellar ataxia, nystagmus, dysphagia, and right hypoglossal nerve paresis. Magnetic resonance imaging revealed a cavernous malformation with hemorrhage occupying the right paramedian field of the medulla oblongata. The patient underwent complete removal of the lesion through vertical incision of the bulging surface of the ventrolateral medulla, anatomically coinciding with the inferior olive. The neurological deficits improved without additional postoperative deficits. This unusual microsurgical approach through a ventrolateral medullary incision permits direct resection of a subpial intrinsic lesion, even on the ventral medulla.
- 社団法人 日本脳神経外科学会の論文
- 2002-10-15
著者
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Oshiro Shinya
Department Of Neurosurgery School Of Medicine Fukuoka University
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Oshiro Shinya
Department Of Neurosurgery Faculty Of Medicine Fukuoka University
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Yamamoto Masaaki
Department Of Neurosurgery School Of Medicine Fukuoka University
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Fukushima Takeo
Department Of Neurosurgery Faculty Of Medicine Fukuoka University
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Yamamoto Masaaki
Department Of Dermatology Hyogo College Of Medicine
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Yamamoto Masaaki
Department of Chemistry, Faculty of Science, Kanazawa University
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