怎么做：骨质疏松症患者的视神经减压

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Acta Neurochirurgica Pub Date : 2025-04-09 DOI:10.1007/s00701-025-06513-8

Katarína Horčičáková, Jana Táborská, Adéla Bubeníková, Vladimír Beneš 3rd

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引用次数: 0

摘要

背景：骨质疏松症是一种罕见的遗传性疾病，会导致骨骼密度过大，并倾向于影响颅底。这通常会导致视神经管狭窄、视神经受压、萎缩和视力丧失。及时的视神经减压术是保护视力的有效手术干预措施。方法行视神经硬膜外和硬膜内联合入路减压术。硬膜内视神经识别被证明是一种有效和安全的方法，有助于在解剖肥厚的前斜突区域时进行充分的减压。结论准确的手术技术和解剖意识是减少并发症和促进康复的关键。

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How I do it: Optic nerve decompression in patient with osteopetrosis

Background

Osteopetrosis is a rare genetic disorder causing excessive skeletal density, with a predilection to affect the skull base. This commonly leads to optic canal stenosis, optic nerve compression, and atrophy and vision loss. Timely optic nerve decompression can be an effective surgical intervention to preserve vision.

Methods

Pterional approach combining both extra- and intradural optic nerve decompression was performed. Intradural optic nerve identification proved a helpful and safe way to facilitate adequate decompression while dissecting in the region of hypertrophic anterior clinoid process.

Conclusion

Precise surgical technique and anatomical awareness are crucial for minimizing complications and aiding recovery.

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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.