Surgical Techniques and Prevention of Complications in the Treatment of Basal Ganglia Hemorrhage Through the Distal Transsylvian Approach.
Journal
The Journal of craniofacial surgery
ISSN: 1536-3732
Titre abrégé: J Craniofac Surg
Pays: United States
ID NLM: 9010410
Informations de publication
Date de publication:
Historique:
pubmed:
27
8
2019
medline:
7
3
2020
entrez:
27
8
2019
Statut:
ppublish
Résumé
Basal ganglia hemorrhage can damage the internal capsule and lead to high rates of disability and mortality. The distal transsylvian approach is a validated approach in the treatment of basal ganglia hemorrhage. However, this approach is difficult and prone to complications. The present study was performed to investigate the surgical techniques and prevention of complications of basal ganglia hemorrhage through the distal transsylvian approach. From January 2015 to January 2018, the authors treated 40 cases of basal ganglia hemorrhage using the distal transsylvian approach. The surgical video recordings and the patients' clinical data were retrospectively analyzed. The authors discussed the surgical techniques and prevention of complications through the distal transsylvian approach. Thirty-eight cases of basal ganglia hemorrhage were successfully treated through the distal transsylvian approach. The other 2 cases were converted to the transcortical transtemporal approach. In the early cases, complications occurred in 3 stages: sylvian fissure dissection, insula lobectomy, and hematoma removal. In the subsequent cases, the authors implemented appropriate surgical techniques to prevent complications. Basal ganglia hemorrhage can be treated through the distal transsylvian approach, but not in all patients. The distal transsylvian approach is highly technical and more problematic than the transcortical transtemporal approach. Mastering certain operative skills can reduce the surgical complications.
Identifiants
pubmed: 31449206
doi: 10.1097/SCS.0000000000005836
pii: 00001665-202001000-00097
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e27-e30Références
Qureshi AI, Tuhrim S, Broderich JP, et al. Spontaneous intracerebral hemorrhage. N Engl J Med 2001; 344:1450–1460.
Itabashi R, Toyoda K, Yasaka M, et al. The impact of hyperacute blood pressure lowering on the early clinical outcome following intracerebral hemorrhage. J Hypertens 2008; 26:2016–2021.
Kageyama Y, Fukuda K, Kobayashi S, et al. Cerebral vein disorders and postoperative brain damage associated with the pterional approach in aneurysm surgery. Neurol Med Chir (Tokyo) 1992; 32:733–738.
Dean BL, Wallace RC, Zabramski JM, et al. Incidence of superficial sylvian vein compromise and postoperative effects on CT imaging after surgical clipping of middle cerebral artery aneurysms. AJNR Am J Neuroradiol 2005; 26:2019–2026.
Kawahara N, Sato K, Muraki M, et al. CT classification of small thalamic hemorrhages and their clinical implications. Neurology 1986; 36:165–172.
Maekawa H, Hadeishi H. Venous-preserving sylvian dissection. World Neurosurg 2015; 84:2043–2052.
Jianwei G, Weiqiao Z, Xiaohua Z, et al. Our experience of transsylvian-transinsular microsurgical approach to hypertensive putaminal hematomas. J Craniofac Surg 2009; 20:1097–1099.
Kazumata K, Kamiyama H, Ishikawa T, et al. Operative anatomy and classification of the sylvian veins for the distal transsylvian approach. Neurol Med Chir (Tokyo) 2003; 43:427–433.
Motoyama Y, Gurung P, Takeshima Y, et al. Indocyanine green (ICG) videoangiography-guided dissection of the Sylvian fissure on the Transsylvian approach: technical note. World Neurosurg 2016; 87:45–47.
Aydin IH, Tuzun Y, Takci E, et al. The anatomical variations of Sylvian veins and cisterns. Minim Invasive Neurosurg 1997; 40:68–73.
Lawton MT. Middle cerebral artery aneurysms. Seven aneurysms: tenets and techniques 2011; New York: Thiem Medical Publishers, pp. 65–93.
Yasargil MG. Microneurosurgery. Vol 1. Stuttgart. 1984; New York: Georg Springer Verlag, pp. 215–233.