Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia最新文献_第9页

The Evolution of Neurosurgery Throughout the Ages: From Trepanations in Prehistory to The Robotic Era 神经外科的进化贯穿各个时代:从史前的钻孔到机器人时代

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Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2022-02-25 DOI: 10.1055/s-0042-1742424

F. Souza, Rhuann Pontes dos Santos Silva, Luiz Severo Bem Junior, H. A. Azevedo Filho

{"title":"The Evolution of Neurosurgery Throughout the Ages: From Trepanations in Prehistory to The Robotic Era","authors":"F. Souza, Rhuann Pontes dos Santos Silva, Luiz Severo Bem Junior, H. A. Azevedo Filho","doi":"10.1055/s-0042-1742424","DOIUrl":"https://doi.org/10.1055/s-0042-1742424","url":null,"abstract":"\u0000 Introduction Throughout the historical course, the emergence of neurosurgery invariably involved the narrative about different eras, marked by relevant discoveries in the field of medical science. From prehistoric mystical and therapeutic reports to the Robotic Era in the 21st century, there were changes that contributed to current neurosurgery. Thus, this study will analyze articles and studies that describe the history of neurosurgery and demonstrate the main advances in the field of science.\u0000 Materials and methods This is a narrative review of scientific literature, carried out by searching the following databases: Scientific Electronic Library Online (SCIELO), Online System for Searching and Analyzing Medical Literature (MEDLINE), Latin American Literature and Caribbean in Health Sciences (LILACS), and Public Medical Literature Analysis and Retrieval System Online (PubMed).The following descriptors were used: History of neurosurgery and Neuroanatomy, together with the Boolean operator “AND”. In addition, the descriptors History of Neurosurgery and Robotics were used between the Boolean operator “AND”. In this sense, in order to establish a linearity of the narrative presented, the evolution of neurosurgery in five eras was didactically separated.\u0000 Conclusion Neurosurgery, throughout history, has undergone several transformations. There was a series of events that made neurosurgery one of the most evolutionary and progressive sciences. This is because technology combined with scientific knowledge was, in fact, what made it possible to get where we are. In this sense, the studied ages allow the comprehension of a history that needs to be understood and valued by all students of the neurological and neurosurgical sciences.","PeriodicalId":42205,"journal":{"name":"Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia","volume":"100 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90743473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Circumbilical Access for Ventriculoperitoneal Bypass Insertion in Adults 成人脑室-腹膜旁路置入的环周通路

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Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2022-02-19 DOI: 10.1055/s-0043-1769778

V. B. D. Silva, J. C. Rodrigues

{"title":"Circumbilical Access for Ventriculoperitoneal Bypass Insertion in Adults","authors":"V. B. D. Silva, J. C. Rodrigues","doi":"10.1055/s-0043-1769778","DOIUrl":"https://doi.org/10.1055/s-0043-1769778","url":null,"abstract":"Abstract Introduction The use of a minilaparotomy for catheter implantation can bring important complications such as adhesions, intestinal lesions, incisional hernias and postoperative pain. In neurosurgery, the umbilical access, currently widely used by surgeons of different specialties mainly for its aesthetic results, is still restricted by the unfamiliarity of the access. Material and Method During the period between 2019 and 2020, a total of 12 patients who required ventricular bypass were selected, using circumbilical access for insertion of the peritoneal catheter and followed up for 12 months to analyze possible complications. Description of the Technique The surgeon responsible for the abdomen performs an umbilical incision bordering the upper edge of the upper ring, avoiding the mamelon, quickly finding the linea alba under the umbilical plane, which after dissection allows reaching the peritoneum, without breaking the rectus muscles. The peritoneum can then be opened under visual control. Results All patients presented resolution of hydrocephalus with good aesthetic results and without complications. Discussion The aesthetic result of the transumbilical procedure was the stimulus for the development of the technique that proved to be easy, safe, cheap, and aesthetic. Initially, the ease of access to the peritoneal cavity is clear, in addition to avoiding manipulation of the rectus abdominis muscle, which improves postoperative pain. Conclusion The circumbilical access for the implantation of a ventriculoperitoneal shunt is safe, effective and has a better aesthetic result for adult patients and should be part of the operative arsenal of neurosurgeons.","PeriodicalId":42205,"journal":{"name":"Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia","volume":"69 1","pages":"e101 - e104"},"PeriodicalIF":0.1,"publicationDate":"2022-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73129831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Neurosurgery in the Treatment of Alcohol Use Disorder: A Systematic Literature Review 神经外科治疗酒精使用障碍:系统文献综述

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Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2022-02-16 DOI: 10.1055/s-0041-1733866

B. Almeida, L. Silva

{"title":"Neurosurgery in the Treatment of Alcohol Use Disorder: A Systematic Literature Review","authors":"B. Almeida, L. Silva","doi":"10.1055/s-0041-1733866","DOIUrl":"https://doi.org/10.1055/s-0041-1733866","url":null,"abstract":"Alcohol abuse has impacts on public health worldwide. Conservative treatment to achieve abstinence consists of detoxification combined with psychotherapy and the use of drugs, but it is estimated that only half of the individuals achieve long-term abstinence with the available treatments. In this sense, neurosurgery appears as a therapeutic proposal. The present study aimed to gather information about the circuitry related to alcohol use disorder (AUD), to describe possible surgical targets, and to establish whether a surgical approach could be a safe and effective treatment option. A systematic review of the literature was conducted and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement. The 14 selected articles analyze ablative operations, deep brain stimulation (DBS), and a new procedure in which the patient is first submitted to repetitive transcranial magnetic stimulation to evaluate their response, and later an implant is surgically positioned on the evaluated target to obtain more lasting results. The most relevant outcomes were found when the anterior cingulate cortex (ACC) and the nucleus accumbens (NAcc) were used as targets, demonstrating a large reduction in alcohol intake and even its cessation. However, important side effects were observed, such as psychotic symptoms, right frontal venous infarction, seizures after implantation in the ACC and a hypomanic period after DBS in the NAcc, which could be reversed. Due to the lack of studies involving the surgical treatment of AUD, more clinical trials are needed to compare targets, to assess surgical techniques, and to estimate the safety of these techniques.","PeriodicalId":42205,"journal":{"name":"Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia","volume":"134 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79459423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prognosis in Traumatic Brain Injury 外伤性脑损伤的预后

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Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2022-02-09 DOI: 10.1055/s-0042-1742299

Bruna Eduarda Civeira de Azevedo, Igor Kunze Rodrigues, Pedro Paulo Marchesi Mello, Marcos Rodrigo Pereira Eismann, D. S. Sousa

{"title":"Prognosis in Traumatic Brain Injury","authors":"Bruna Eduarda Civeira de Azevedo, Igor Kunze Rodrigues, Pedro Paulo Marchesi Mello, Marcos Rodrigo Pereira Eismann, D. S. Sousa","doi":"10.1055/s-0042-1742299","DOIUrl":"https://doi.org/10.1055/s-0042-1742299","url":null,"abstract":"\u0000 Objective To characterize the profile of TBI victims who required neurosurgical approach in two reference hospitals in the metropolitan area of Florianópolis, state of Santa Catarina, Brazil, and to identify the prognostic increase in the Pupil Reactivity Score when subtracted from the Glasgow Coma Score, found in the Glasgow-P. Additionally, to present demographic, etiological, clinical, and tomographic data, and associate them with the outcome of death.\u0000 Methods Medical record data and computed tomography (CT) scans of patients with TBI undergoing neurosurgical procedures from January 2014 to April 2019, at 2 reference hospitals in the metropolitan area of Florianópolis, state of Santa Catarina, Brazil – Hospital Regional de São José Dr. Homero de Miranda Gomes (HRSJ-HMG, in the Portuguese acronym) and Hospital Governador Celso Ramos (HGCR, in the Portuguese acronym).\u0000 Results The results of the 318 cases studied indicated that the male gender predominated (87.7%). The most affected age group was between 35 and 65 years old (47.5%). The main cause was motorcycle accidents (26.1%), followed by a fall from a height (16.4%). Most patients required admission to the intensive care unit (ICU) (85.8%), with an average duration of 13 days. The average total hospital stay was 28 days. Most cases needed external ventricular drain (EVD) (64.8%). The predominant tomographic classification was Marshall II (43.4%), followed by Marshall IV (26.1%). Most patients presented with extra-axial hematoma (64.2%), with subdural hematoma (SDH) being the most frequent (45%). Most patients presented with sequelae at hospital discharge (43.4%).\u0000 Conclusion There was no clinically relevant increase between the Glasgow and Glasgow-P scores for the tested outcomes (need for decompressive craniectomy, midline shift, presence of basal cisterns obliteration, need for ICU admission, and death).","PeriodicalId":42205,"journal":{"name":"Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia","volume":"28 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77931224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

What a Neurosurgeon Should Know About the Endolymphatic Sac: Part 3 – Ménière Disease 关于内淋巴囊神经外科医生应该知道的:第3部分- msamimni<e:1>病

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Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2022-02-08 DOI: 10.1055/s-0042-1749087

M. A. S. Vaz, J. Monteiro, J. Lavinsky, G. Santis, Marcelo Assis Moro da Rocha Filho, C. Ribas, R. Araújo, E. Figueiredo, G. Isolan

{"title":"What a Neurosurgeon Should Know About the Endolymphatic Sac: Part 3 – Ménière Disease","authors":"M. A. S. Vaz, J. Monteiro, J. Lavinsky, G. Santis, Marcelo Assis Moro da Rocha Filho, C. Ribas, R. Araújo, E. Figueiredo, G. Isolan","doi":"10.1055/s-0042-1749087","DOIUrl":"https://doi.org/10.1055/s-0042-1749087","url":null,"abstract":"Abstract Objective To elucidate all the aspects that neurosurgeons should know about the Ménière disease (MD). Methods Review of guidelines, books, and studies from 1933 to 2021, from basic to translational research, using human and animal endolymphatic sac (ES) tissue or cells, as well as reviews, case reports, and papers about surgical experience. This article is divided into three parts. In this last part, we review the MD. Results The MD is one of the most common pathologies in the ES. It was first described by Prosper Ménière in 1861 with its clinical triad: dizziness, tinnitus, and hearing loss. A lot of theories relating ES to the MD have been proposed. Some of them postulate that it is caused by a narrowing and shortening in the endolymphatic duct, and others relate it to severe inflammation on the ES. Mostly due to the lack of understanding of this pathology, the diagnosis is mainly clinical, despite histopathology being helpful to confirm the diagnosis. The treatment of the MD can be done in 3 different ways: pharmacological, nonpharmacological, and surgical. Conclusion The MD is one of the most common pathologies in the inner ear and has been largely studied over the years. The latest diagnosis guidelines must help in the classification and give better basis for diagnosis and treatment, which, despite not being curative yet, has improved over the years. Pharmacological treatment based on the possible etiologies, allied with proper diet and routine exercise, is showing promising results.","PeriodicalId":42205,"journal":{"name":"Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia","volume":"76 1","pages":"e160 - e164"},"PeriodicalIF":0.1,"publicationDate":"2022-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90608505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Traumatic Brain Injury in Pregnancy 妊娠期创伤性脑损伤

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Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2022-02-07 DOI: 10.1055/s-0041-1733862

L. Santos, C. Pereira, Maycon Cristian Gomes de Paula, G. F. Kalkmann, N. Rabelo

{"title":"Traumatic Brain Injury in Pregnancy","authors":"L. Santos, C. Pereira, Maycon Cristian Gomes de Paula, G. F. Kalkmann, N. Rabelo","doi":"10.1055/s-0041-1733862","DOIUrl":"https://doi.org/10.1055/s-0041-1733862","url":null,"abstract":"\u0000 Objective The present paper aims to provide a review on the main complications involving traumatic brain injury (TBI) during pregnancy and on the vegetative state after TBI.\u0000 Methods A systematic review was performed in concordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria checklist.\u0000 Results Seven studies were included, of which four were case reports, one was a follow-up, one was a comparative study, and one was a literature review.\u0000 Discussion Presence of neurological deficits such as hemiparesis, neonatal seizures, cerebral palsy, hemorrhage or hydrocephalus was observed in children of mothers who suffered trauma during pregnancy. The prolongation of a pregnancy in these victims, even in brain death, is within the reach of current medicine. Ethical issues must be considered when deciding to prolong a pregnancy of a woman in brain death.\u0000 Conclusion For the evaluation of pregnant women with TBI, there is a protocol that can be followed in the emergency care service. The cases reported in the literature suggest that there is no clear limit to restrict support to a pregnant patient in a vegetative state. Further studies should be done to elucidate this matter.","PeriodicalId":42205,"journal":{"name":"Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia","volume":"26 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87456337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Nontraumatic Intracranial Epidural Hematoma: Systematic Review of the Literature 非外伤性颅内硬膜外血肿:文献系统综述

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Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2022-02-07 DOI: 10.1055/s-0042-1756140

Joilson Francisco de Souza, Luiz Eduardo Dantas Cerqueira Medeiros, Carlos Umberto Pereira

{"title":"Nontraumatic Intracranial Epidural Hematoma: Systematic Review of the Literature","authors":"Joilson Francisco de Souza, Luiz Eduardo Dantas Cerqueira Medeiros, Carlos Umberto Pereira","doi":"10.1055/s-0042-1756140","DOIUrl":"https://doi.org/10.1055/s-0042-1756140","url":null,"abstract":"Abstract Introduction Epidural hematoma (EDH) is generally a direct sequela of head injury. Spontaneous EDH is rarely described in the literature. Spontaneous EDH can be caused by infections of adjacent regions, vascular malformations of the dura mater, metastases to the bone skull, and disorders of blood coagulation. The preferred treatment is surgical. The prognosis is directly related to the size, location, and Glasgow Coma Scale score on admission and the underlying disease. Methods A systematic literature review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. We performed the search in the PubMed/MEDLINE, Embase, and Scopus databases. Abstracts and articles were screened according to our inclusion and exclusion criteria. Results The literature review yielded 1,156 records from the databases, of which a total of 164 full-text articles were included in the final synthesis, plus 22 additional relevant studies. A total of 89 case report studies were included, providing 95 unique patients. There was a predominance of coagulopathies as the main etiology of spontaneous EDH. A total of 45.3% of the patients presented lesions in > 1 brain lobe. The frontal lobe was the most prevalent location of EDH. The most used neuroimaging exam was computed tomography (CT). Surgical intervention was the most common treatment performed. A total of 24.2% of the patients died. Conclusion Nontraumatic EDH represents an uncommon manifestation of several pathologies. Clinical investigation should be aware of such a possibility. Healthcare professionals should value the physical examination and clinical history of the patient. Given the scarcity of information on the pathogenesis of spontaneous EDH, further studies are needed to better define intervention strategies and therapies for these patients.","PeriodicalId":42205,"journal":{"name":"Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia","volume":"22 1","pages":"e52 - e65"},"PeriodicalIF":0.1,"publicationDate":"2022-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89550929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spinal Surgery in Patients with Type-1 Neurofibromatosis: A Comprehensive Review 脊柱手术治疗1型神经纤维瘤病的综述

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Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2022-02-06 DOI: 10.1055/s-0042-1749086

A. Joaquim

{"title":"Spinal Surgery in Patients with Type-1 Neurofibromatosis: A Comprehensive Review","authors":"A. Joaquim","doi":"10.1055/s-0042-1749086","DOIUrl":"https://doi.org/10.1055/s-0042-1749086","url":null,"abstract":"Abstract Type-1 neurofibromatosis (NF1) is a neurocutaneous syndrome classically known as peripheral NF to distinguish it from type-2 NF (central NF). Its main characteristic is the high predisposition to the growth of multiple tumors, which specially arouses the interest of spinal surgeons due to the presence of spinal cord compression and spinal deformities. Considering this, we have performed a comprehensive review, with illustrative cases of the main manifestations of NF1, focusing on the perspective of the spine surgeon. Articles were grouped according to the following subjects: diagnosis, skeletal complications, spinal deformity, and spinal tumors. For all of them, a detailed discussion on pearls for practice was presented. The diagnosis of NF1 is based on the presence of at least two out of seven criteria. Cutaneous findings are very common in NF1, and the most usual tumor is cutaneous neurofibroma (NFB). Plexiform neurofibromas are also found and present a high risk of becoming malignant peripheral nerve sheath tumors (MPNSTs), reducing life expectancy. Astrocytomas, especially pilocytic astrocytomas, are the most common central nervous system tumor, including in the spinal cord. Surgery is necessary to resect as much as possible without adding new neurological deficits. Spinal deformities are also commonly found (in 30–70% of the cases), potentially associated with dystrophic changes, which may result in acute and rapid progression. In the present review, we discuss specific characteristics found in this group of patients which are of paramount importance to properly manage this challenging disease.","PeriodicalId":42205,"journal":{"name":"Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia","volume":"22 1","pages":"e152 - e159"},"PeriodicalIF":0.1,"publicationDate":"2022-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89494968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Historical Aspects and Surgical Nuances on the Craniocervical Approach to the Jugular Foramen 颈静脉孔颅颈入路的历史和手术特点

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Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2022-01-31 DOI: 10.1055/s-0041-1739166

F. Constanzo, G. Nogueira, M. Coelho Neto, R. Ramina

{"title":"Historical Aspects and Surgical Nuances on the Craniocervical Approach to the Jugular Foramen","authors":"F. Constanzo, G. Nogueira, M. Coelho Neto, R. Ramina","doi":"10.1055/s-0041-1739166","DOIUrl":"https://doi.org/10.1055/s-0041-1739166","url":null,"abstract":"\u0000 Context Tumors of the jugular foramen present a challenge to skull base surgeons. Their rarity, coupled with the complex anatomy of the region require exquisite knowledge and surgical technique. We present the history of the craniocervical approach to the jugular foramen, as well as surgical advice on how to manage the different extensions these tumors may present. The surgical nuances come from the experience of our skull base team managing over 150 tumors of the jugular foramen over the past 30 years. The history of the craniocervical approach was obtained by reviewing articles on surgery of the jugular foramen published on PUBMED over the past 100 years.\u0000 History The first craniocervical approach may be attributed to Gardner et al. in 1891, with posterior contributions from Shapiro and Neues, Gejrot, Kempe et al, Hilding and Greenberg, and Glasscock.\u0000 Nuances Cervical dissection with identification of the jugular vein, carotid bifurcation, and IX to XII cranial nerves was performed. Mastoidectomy with exposition of the fallopian canal, labyrinth, middle ear, sigmoid sinus, followed by a trans-sigmoid craniotomy with transposition of the vertebral artery gave access to the temporal and intracranial region.\u0000 Conclusion Approaching the jugular foramen is the epitome of skull base surgery. Several modifications of the standard approach may be necessary depending on the extension of the tumor.","PeriodicalId":42205,"journal":{"name":"Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia","volume":"9 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88446712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Abducens Nerve Schwannoma: Case Report and Literature Review 外展神经鞘瘤1例报告及文献复习

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Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2022-01-28 DOI: 10.1055/s-0041-1740165

Guilherme Finger, B. Godoy, Bruna Koeche da Silva, Rafael Ferreira Leite de Mello, J. Nogueira, A. A. Souto

引用次数: 1