How I do it: the trans-laminar, facet-joint sparing minimal invasive approach for ventral dural repair in spontaneous intracranial hypotension-a 2-dimensional operative video.
Microsurgery
Minimally invasive surgery
Spontaneous idiopathic hypotension
Subdural hematoma
Journal
Acta neurochirurgica
ISSN: 0942-0940
Titre abrégé: Acta Neurochir (Wien)
Pays: Austria
ID NLM: 0151000
Informations de publication
Date de publication:
11 2021
11 2021
Historique:
received:
05
08
2021
accepted:
20
08
2021
pubmed:
6
9
2021
medline:
25
11
2021
entrez:
5
9
2021
Statut:
ppublish
Résumé
We describe the minimally invasive, facet-sparing postero-lateral approach to the thoracic spine for a ventral dural repair in a patient with intracranial hypotension secondary to a spontaneous dural breach. We performed a minimally invasive approach using a short paramedian posterior skin incision followed by a 10 × 10 mm targeted trans-laminar approach, to achieve a microsurgical repair of a symptomatic ventral dural defect causing severe disability. The facet-sparing postero-lateral approach is safe and effective in the surgical management of thoracic dural tears, even in the most anterior ones, and avoids the traditional costotransversectomy.
Sections du résumé
BACKGROUND
We describe the minimally invasive, facet-sparing postero-lateral approach to the thoracic spine for a ventral dural repair in a patient with intracranial hypotension secondary to a spontaneous dural breach.
METHODS
We performed a minimally invasive approach using a short paramedian posterior skin incision followed by a 10 × 10 mm targeted trans-laminar approach, to achieve a microsurgical repair of a symptomatic ventral dural defect causing severe disability.
CONCLUSION
The facet-sparing postero-lateral approach is safe and effective in the surgical management of thoracic dural tears, even in the most anterior ones, and avoids the traditional costotransversectomy.
Identifiants
pubmed: 34482431
doi: 10.1007/s00701-021-04987-w
pii: 10.1007/s00701-021-04987-w
pmc: PMC8520519
doi:
Types de publication
Journal Article
Video-Audio Media
Langues
eng
Sous-ensembles de citation
IM
Pagination
3015-3020Informations de copyright
© 2021. The Author(s).
Références
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pubmed: 27566748
Ducros A, Biousse V (2015) Headache arising from idiopathic changes in CSF pressure. Lancet Neurol 14:655–668. https://doi.org/10.1016/S1474-4422(15)00015-0
doi: 10.1016/S1474-4422(15)00015-0
pubmed: 25987284
Schievink WI (2006) Spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension. JAMA 295:2286–2296. https://doi.org/10.1001/jama.295.19.2286
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pubmed: 16705110
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doi: 10.1097/WCO.0000000000000105
pubmed: 24978633