Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Adjunctive use of endoscopy during posterior fossa surgery to treat cranial neuropathies
Autore:
King, WA; Wackym, PA; Sen, C; Meyer, GA; Shiau, J; Deutsch, H;
Indirizzi:
Mt Sinai Sch Med, Dept Neurosurg, New York, NY 10029 USA Mt Sinai Sch MedNew York NY USA 10029 Neurosurg, New York, NY 10029 USA Med Coll Wisconsin, Dept Otolaryngol & Commun Sci, Milwaukee, WI 53226 USAMed Coll Wisconsin Milwaukee WI USA 53226 un Sci, Milwaukee, WI 53226 USA Med Coll Wisconsin, Dept Neurosurg, Milwaukee, WI 53226 USA Med Coll Wisconsin Milwaukee WI USA 53226 rosurg, Milwaukee, WI 53226 USA
Titolo Testata:
NEUROSURGERY
fascicolo: 1, volume: 49, anno: 2001,
pagine: 108 - 115
SICI:
0148-396X(200107)49:1<108:AUOEDP>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
RECURRENT TRIGEMINAL NEURALGIA; VESTIBULAR NERVE-SECTION; ACOUSTIC NEUROMA SURGERY; TERM FOLLOW-UP; MICROVASCULAR DECOMPRESSION; HEMIFACIAL SPASM; GENICULATE NEURALGIA; SURGICAL-MANAGEMENT; OPERATIONS;
Keywords:
endoscopy; geniculate neuralgia; hemifacial spasm; Meniere's disease; trigeminal neuralgia;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
34
Recensione:
Indirizzi per estratti:
Indirizzo: King, WA Mt Sinai Sch Med, Dept Neurosurg, Box 1136,1 Gustave L Levy Pl, New York, NY 10029 USA Mt Sinai Sch Med Box 1136,1 Gustave L Levy Pl New York NY USA 10029
Citazione:
W.A. King et al., "Adjunctive use of endoscopy during posterior fossa surgery to treat cranial neuropathies", NEUROSURGER, 49(1), 2001, pp. 108-115

Abstract

OBJECTIVE: The objective of this study was to determine the utility and safety of rigid endoscopy as an adjunct during posterior fossa surgery to treat cranial neuropathies. METHODS: A suboccipital craniotomy was performed for 19 patients with non-neoplastic processes involving the Vth, VIIth, and/or VIIIth cranial nerves. Ten patients with trigeminal neuralgia (n = 8), hemifacial spasm (n = 1),or intractable tinnitus (n = 1) underwent primarily microvascular decompression procedures. One patient with geniculate neuralgia underwent nervus intermedius sectioning combined with microvascular decompression. Eight patients underwent unilateral vestibular nerve neurectomies for treatment of Meniere's disease. A 0- or 30-degree rigid endoscope was used in conjunction with the standard microscopic approach for all procedures. RESULTS: All patients experienced resolution or significant improvement oftheir preoperative symptoms after posterior fossa surgery. The endoscope allowed improved definition of anatomic neurovascular relationships without the need for significant cerebellar or brainstem retraction. Cleavage planes between the cochlear and vestibular nerves entering the internal auditorycanal and sites of vascular compression could not be microscopically observed for several patients; however, endoscopic identification was possible for all patients. There were no complications related to the use of the endoscope. CONCLUSION: The rigid endoscope can be used safely during posterior fossa surgery to treat cranial neuropathies, and it allows improved observation of the cranial nerves, nerve cleavage planes, and vascular anatomic featureswithout significant cerebellar or brainstem retraction.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 14:47:49