全内窥镜胸椎腹侧骨质增生切除术和自发性脑脊液漏修复术

Neurosurgical focus: Video Pub Date : 2024-04-01 DOI:10.3171/2024.1.focvid23209

Nelson Sofoluke, Jannik Leyendecker, C. P. Hofstetter, Sanjay Konakondla

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引用次数: 0

摘要

自发性脑脊液漏经常会因颅内低血压而引起头痛、脑膜震颤和恶心。当保守治疗无效时，就需要进行手术修复。尤其是腹腔漏，必须采用创伤性方法，并伴有大量失血和组织创伤。全内窥镜脊柱手术（FESS）可通过经椎间孔入路进行环绕入路手术。在此，作者展示了利用 FESS 去除骨性骨质增生并放置硬脑膜替代物和密封剂后，成功修复胸椎腹侧 CSF 漏的手术。据报道，症状得到了持久缓解。这些结果表明，FESS 可安全有效地修复自发性和偶发性 CSF 漏。请点击此处观看视频： https://stream.cadmore.media/r10.3171/2024.1.FOCVID23209

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Full endoscopic resection of ventral thoracic osteophyte and repair of spontaneous CSF leak

Spontaneous CSF leaks frequently cause headaches, meningismus, and nausea due to intracranial hypotension. When conservative treatment fails, surgical repair is indicated. Especially ventral leaks necessitate invasive approaches with substantial blood loss and tissue trauma. Full endoscopic spine surgery (FESS) enables circumferential access via the transforaminal approach. Here, the authors show the successful repair of a ventral CSF leak in the thoracic spine after removal of bony osteophytes utilizing FESS with placement of a dural substitute and sealant. Lasting symptom relief was reported. These results suggest that FESS is safe and efficient for the repair of spontaneous and incidental CSF leaks. The video can be found here: https://stream.cadmore.media/r10.3171/2024.1.FOCVID23209

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来源期刊

Neurosurgical focus: Video

CiteScore

0.50

自引率

0.00%

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