我是怎么做的：硬脑膜后内侧触角动静脉瘘的手术结扎。

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Acta Neurochirurgica Pub Date : 2024-09-26 DOI:10.1007/s00701-024-06272-y

Amedeo Piazza, A. Yohan Alexander, Maria Peris-Celda, Giuseppe Lanzino

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引用次数: 0

摘要

背景：硬膜外动静脉瘘（dAVF）根据静脉引流和位置进行分类。虽然它们的血管结构最初看起来令人生畏，但一旦 "解密"，治疗就会变得简单明了。后内侧蝶窦 dAVF 有一条动脉化引流静脉，从下蝶窦沿直窦后三分之一处发出，略微偏离中线：方法：借助解剖解剖图、术中照片和手术视频，我们概述了手术治疗后内侧触角dAVFs的关键步骤：结论：后内侧触角型 dAVF 是触角型 dAVF 中定义明确的一种亚型，手术结扎对其具有重要作用。

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How I do it: surgical ligation of posteromedial tentorial dural arteriovenous fistulas

Background

Tentorial dural arteriovenous fistulas (dAVFs) are categorized based on venous drainage and location. Although their angioarchitecture may initially appear intimidating, once “decodified,” treatment is straightforward. Posteromedial tentorial dAVFs have an arterialized draining vein that emanates from the inferior tentorium along the posterior third of the straight sinus, just slightly off the midline.

Method

With the aid of anatomical dissections, intraoperative photos, and operative videos, we outline the key steps for surgical treatment of posteromedial tentorial dAVFs.

Conclusion

Posteromedial tentorial dAVFs constitute a precise and well-defined subtype of tentorial dAVF for which surgical ligation has an important role.

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来源期刊

Acta Neurochirurgica 医学-临床神经学

CiteScore

4.40

自引率

4.20%

发文量

342

审稿时长

1 months

期刊介绍： The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.