经平面极入路进入前中颞区

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Acta Neurochirurgica Pub Date : 2025-04-22 DOI:10.1007/s00701-025-06530-7

Daniele Starnoni, Lorenzo Giammattei, Roy T. Daniel, Pablo González-López

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引用次数: 0

摘要

背景：椎体移植入路是一种针对中颞叶结构的手术技术，如杏仁核和海马。它提供了一种更安全的替代途径，可以减少对白质束、视神经辐射和血管结构的风险。方法该方法包括翼面开颅术和量身定制的侧裂解剖，以进入平面极。动态牵开，图像引导和基底下解剖确保了精确的切除，同时保留了关键的神经和血管解剖。结论经平面极化入路通过减少干扰和技术复杂性，提高了中颞叶病变患者的安全性和有效性，减少了并发症，改善了预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Transplanum polare approach to the anterior mesiotemporal region

Background

The transplanum polare approach is a surgical technique targeting mesiotemporal structures, such as the amygdala and hippocampus. It offers a safer alternative to transcortical and transsylvian routes, reducing risks to white matter tracts, optic radiations, and vascular structures.

Method

This method involves a pterional craniotomy with tailored sylvian fissure dissection to access the planum polare. Dynamic retraction, image guidance, and subpial dissection ensure precise resection while preserving critical neural and vascular anatomy.

Conclusion

By minimizing disruption and technical complexity, the transplanum polare approach enhances safety and efficacy, reducing complications and improving outcomes for patients with mesiotemporal lesions.

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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.