دورية أكاديمية
Back to basal: contemporary cerebrovascular cohort study of the supratentorial-infraoccipital approach
| العنوان: | Back to basal: contemporary cerebrovascular cohort study of the supratentorial-infraoccipital approach |
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| المؤلفون: | Srinivasan, Visish M, Karahalios, Katherine, Reddy, Vamsi P, Scherschinski, Lea, DiDomenico, Joseph D, Rahmani, Redi, Catapano, Joshua S, Labib, Mohamed A, Rumalla, Kavelin, Graffeo, Christopher S, Lawton, Michael T |
| المصدر: | Neurosurgery |
| بيانات النشر: | Barrow - St. Joseph's Scholarly Commons |
| سنة النشر: | 2023 |
| مصطلحات موضوعية: | aneurysm, arteriovenous fistula, arteriovenous malformation, cerebrovascular, complex cranial, infraoccipital, skull base, supratentorial, surgical technique, vascular disorders, Humans, Cohort Studies, Intracranial Arteriovenous Malformations (surgery), Arteriovenous Fistula (surgery), Occipital Lobe (blood supply), Brain, Treatment Outcome, Retrospective Studies |
| الوصف: | OBJECTIVE: The objective of this paper was to assess applications of the supratentorial-infraoccipital (STIO) approach for cerebrovascular neurosurgery. METHODS: The authors conducted a cohort study of all consecutive cases in which the STIO approach was used during the study period, December 1995 to January 2021, as well as a systematic review of the literature. RESULTS: Twenty-five cerebrovascular cases were identified in which the STIO approach was used. Diagnoses included arteriovenous malformation (n = 15), cerebral cavernous malformation (n = 5), arteriovenous fistula (n = 4), and aneurysm (n = 1). The arteriovenous malformations consisted of Spetzler-Martin grade II (n = 3), grade III (n = 8), and grade IV (n = 4) lesions. Lesion locations included the occipital lobe (n = 15), followed by the tentorial dural (n = 4), temporal-occipital (n = 3), temporal (n = 1), thalamic (n = 1), and quadrigeminal cistern (n = 1) regions. Many patients (75%) experienced transient visual deficits attributable to retraction of the occipital lobe, all of which resolved. As of last follow-up (n = 12), modified Rankin Scale scores had improved for 6 patients and were unchanged for 6 patients compared with the preoperative baseline. CONCLUSIONS: The STIO approach is a safe and effective skull base approach that provides a specialized access corridor for appropriately selected cerebrovascular lesions. |
| نوع الوثيقة: | text |
| اللغة: | unknown |
| العلاقة: | https://scholar.barrowneuro.org/neurosurgery/1779Test; https://doi.org/10.3171/2022.5.JNS22506Test |
| DOI: | 10.3171/2022.5.JNS22506 |
| الإتاحة: | https://doi.org/10.3171/2022.5.JNS22506Test https://scholar.barrowneuro.org/neurosurgery/1779Test |
| رقم الانضمام: | edsbas.536EBF42 |
| قاعدة البيانات: | BASE |
| DOI: | 10.3171/2022.5.JNS22506 |
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