دورية أكاديمية

Decompression of cavernous sinus meningioma for preservation and improvement of cranial nerve function

التفاصيل البيبلوغرافية
العنوان: Decompression of cavernous sinus meningioma for preservation and improvement of cranial nerve function
المؤلفون: Couldwell, William T., Apfelbaum, Ronald I., Kan, Peter, Liu, James K.
المساهمون: School of Medicine, Neurosurgery
بيانات النشر: American Association of Neurological Surgeons (AANS)
سنة النشر: 2006
المجموعة: The University of Utah: J. Willard Marriott Digital Library
الوصف: Journal Article ; Meningiomas are the most common tumors affecting the cavernous sinus (CS). Despite advances in microsurgery and radiosurgery, treatment of CS meningiomas remains difficult and controversial. As in cases of other meningiomas, the goal of treatment for CS meningioma is long-term growth control and preservation of neural function. Gross-total resection, the ideal treatment for meningioma, is not always possible to obtain in patients with CS meningiomas with an acceptable level of morbidity. Therefore, microsurgery and radiosurgery have recently been advocated as a combined therapy to achieve good control of tumor growth and favorable functional outcome. The authors describe a technique in which tumor volume can be reduced to a minimal residual amount, while preserving cranial nerve function. This enables the smallest field to be treated radiosurgically. The optic nerve is decompressed, and the tumor mass is reduced to provide at least a 5-mm interpositional distance between the optic nerve and the residual lesion. Direct decompression of the CS, with opening of the lateral and superior sinus walls, and piecemeal removal of the tumor in "safe" locations are performed to facilitate an improvement in cranial nerve function. The authors describe the use of this technique in a series of patients and demonstrate improvement of cranial nerve function in a subset of these patients.
نوع الوثيقة: text
وصف الملف: application/pdf; 425,968 bytes
اللغة: English
العلاقة: ir-main,12634; https://collections.lib.utah.edu/ark:/87278/s6m33dbqTest
الإتاحة: https://collections.lib.utah.edu/ark:/87278/s6m33dbqTest
حقوق: (c) American Association of Neurological Surgeons
رقم الانضمام: edsbas.DBB15494
قاعدة البيانات: BASE