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Instituto Nacional de Neurología y Neurocirugía

2009, Number 3

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Arch Neurocien 2009; 14 (3)

Suboccipital concentric craneotomy as variant in the posterior fossa surgery

Ibarra-de la Torre A, Aguilar-López R

Language: Spanish
References: 38
Page: 206-210
PDF size: 225.52 Kb.


ABSTRACT

Early in the neurosurgery for the posterior fossa approach was described in 1903 by Fedor Krause and it continued by Dandy; the suboccipital approach is based in craniectomy or craneotomy, to emphasize inthe surgical anatomy of the posterior fossa, but with risk for the venous sinus. We discuss the evolution of the suboccipital approach, and we described the concentric variant to improvement the technique. Clinic material and results: from May 2005 to February 2006, we make suboccipital concentric craneotomy in three consecutive patients, without dural injury, sinus venous preservation, and suboccipital area reconstruction. Discussion: in the neurosurgery history and the posterior fossa approaches we presented and too a variant, the suboccipital concentric craneotomy that can improvement the surgical technique in the posterior fossa surgery. Conclusion. We feel that the variant suboccipital craniotomy concentric for posterior fossa surgery, permit optimal exposition and sure and avoid risks in the venous sinus preservation. But is will continue her application in more patients to reaffirm these results.


REFERENCES

  1. Lang J Jr, Samii A. Retrosigmoid approach to the posterior cranial fossa, an anatomical study. Acta Neurochir (Wien) 1991; 111: 147-53.

  2. Dandy WE. The treatment of trigeminal neuralgia by thecerebellar route. Ann Surg 1932; 96:787-95.

  3. Poppen JL. An atlas of neurosurgical techniques. WB. Saunders, Philadelphia, 1960.

  4. Bucy PC. Exposure of the posterior or cerebellar fossa. J Neurosurg 1966; 24: 820-32.

  5. Kempe LG. Operative neurosurgery, posterior fossa, spinal cord, and peripheral nerve disease. Springer-Verlag, New York, 1970.

  6. Jannetta PJ. Vascular secompression in trigeminal neuralgia. En: Samii M, Jannetta PJ (editores), The cranial nerves, anatomy, pathology, pathophysiology, diagnosis, and treatment. Springer-Verlag, Berlin, 1981.

  7. Jannetta PJ. Hemifacial spasm. En: Samii M, Jannetta PJ (editores), The cranial nerves, anatomy, pathology, pathophysiology, diagnosis, and treatment. Springer-Verlag, Berlin, 1981.

  8. Rhoton AL Jr. The posterior cranial fossa, microsurgical anatomy and surgical approaches. Neurosurgery 2000; 47:S5-S6.

  9. Lang J. Clinical anatomy of the posterior cranial fossa and its foramina. Georg Thieme Verlag, Stuttgart, 1991.

  10. Yasargil MG, Fox JL.: The microsurgical approach to acoustic neurinomas. Surg Neurol 1974; 2: 393-8.

  11. Ogilvy CS, Ojemann RG. Posterior fossa craniotomy for lesions of the cerebellopontine angle. J Neurosurg 1993; 78: 508-9.

  12. Abolghassem S, Ulrich K. Osteoplastic lateral suboccipital approach for acoustic neuroma surgery, technical note. Neurosurgery 2000; 48: 229-31.

  13. Day JD, Kellogg JX, Tschabitscher M, Fukushima T. Surface and superficial surgical anatomy of the posterolateral cranial base, significance for surgical planning and approach. Neurosurgery 1996; 38: 1079-84.

  14. Day JD, Tschabitscher M. Anatomic position of the asterion. Neurosurgery 1998; 42: 198-9.

  15. Tubbs RS, Salter G, Oakes WJ. Superficial surgical landmarks for the transverse sinus and torcular herophili. J Neurosurg 2000; 93: 279-81.

  16. Avci E, Kocaogullar Y, Fossett D, Caputy A. Lateral posterior fossa venous sinus relationships to surface landmarks. Surg Neurol 2003; 59: 392-7.

  17. Bozbuga M, Boran BO, Sahinoglu K. Surface anatomy of the posterolateral cranium regarding the localization of the inicial burr-hole for a retrosigmoid approach. Neurosurg Rev 2006; 29:61-3.

  18. Ribas GC, Rhoton AL Jr, Cruz OR, Peace D. Suboccipital burr holes and craniectomies. Neurosurg Focus 2005; 19: 1-12.

  19. Sekhar LN, Tzortzidis F, Raso J. Fronto-orbital approach. En: Sekhar LN, De Oliveira E (editores), Cranial microsurgery, approaches and techniques, Thieme, New York, 1997.

  20. Rock JP, Masel D, Schmidek HH. Alternate surgical approaches. En: Apuzzo MLJ (editor), Brain surgery, complication avoidance and management. Churchill Livingstone, New York, 1993.

  21. Duckworth J, Schmidek HH. Surgical management of posterior fossa tumors. En: Schmidek HH, Sweet WH (editores), Operative neurosurgical techniques, indications, methods, and results. Second edition, W B. Saunders Company, Philadelphia, 1988.

  22. Max RE, Chou SN. Posterior fossa meningiomas. En: Schmidek HH, Sweet WH (editores), Operative neurosurgical techniques, indications, methods, and results. Second edition, WB. Saunders Company, Philadelphia, 1988.

  23. Levy ML, Apuzzo ML. Supracerebellar infratentorial approaches to the pineal region. En: Rengachary SS, Wilkins RH (editores), Neurosurgical operative atlas. Park Ridge, Illinois. American Association of Neurological Surgeons 1995.

  24. Yasargil MG.: Microneurosurgery. Georg Thieme Verlag, Stuttgart, 1984.

  25. Tew JM, van Loveren HR. Atlas of operative microneurosurgery. W. B. Saunders Company, Philadelphia, 1994.

  26. Yasargil MG. Microneurosurgery. B Georg Thieme Verlag,Stuttgart, 1996.

  27. Sterkers JM. Retro-sigmoid approach for preservation of hearing in early acoustic neuroma surgery. En: Samii M, Jannetta PJ (editores), The cranial nerves, anatomy, pathology, pathophysiology, diagnosis, and treatment. Springer-Verlag, Berlin, 1981.

  28. Long DM. Atlas of operative neurosurgical technique, cranial operations. Vol. 1, Williams and Wilkins, Baltimore, 1989; 324-7.

  29. Spetzler RF, Koos WT, Richling B, Lang J. Color atlas of microneurosurgery, microanatomy, approaches, techniques. Second edition. Thieme, Stuttgart, 1997.

  30. Ojemann RG. Acoustic neuroma (vestibular schwannoma). En: Youmans JR (editor), Neurological surgery. WB. Saunders Company, Philadelphia, 1996.

  31. Stevenson KL, Geyer JR, Ellenbogen RG. Pediatric neurooncology. En: Moore AJ, Newell DW (editores), Neurosurgery principles and practice. Springer, London, 2005.

  32. Marlin AE, Gaskill SJ. Cerebellar medulloblastoma. En: Rengachary SS, Wilkins RH (editores), Neurosurgical operative atlas. Williams and Wilkins, Baltimore, American Association of Neurological Surgeons 1991;(1):176-83.

  33. Stein BM. The infratentorial supracerebellar approach to pineal lesions. J Neurosurg 1971; 35: 197-202.

  34. Stein BM. The infratentorial-supracerebellar exposure of tumors in the pineal area. Neurosurgery 1977; 1: 36-40. (Comentario).

  35. Page LK. The infratentorial-supracerebellar exposure of tumors in the pineal area. Neurosurgery 1977; 1: 36-40.

  36. Al-Mefty O, Fox JL, Smith RR. Petrosal approach for petroclival meningiomas. Neurosurgery 1988; 22:510-7.

  37. Samii M, Ammirati M. The combined supra-infratentorial presigmoid sinus avenue to the petro-clival region. Surgical technique and clinical applications. Acta Neurochir (Wien) 1998; 95:6-12.

  38. Miller CG, van Loveren HR, Keller JT, Pensak M, El-Kalliny M,Tew JM Jr. Transpetrosal approach: surgical anatomy and technique. Neurosurgery 1993; 33:461-9.




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