枕骨大孔区脑膜瘤手术治疗(1例报告并文献复习)  

Surgical management of foramen magnum meningiomas:case report and review of the literature

作　　者：钟平[1,2] 姚一[1,2] 张小斌[1,2] 江建东[1,2] 高志莹 徐飞[1,2] 

机构地区：[1]解放军第174医院 [2]厦门大学附属成功医院神经外科,厦门361003

出　　处：《中国临床神经外科杂志》2014年第1期18-20,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨枕骨大孔区脑膜瘤(FMM)的手术策略和效果。方法回顾性分析1例椎动脉骑跨型FMM的临床资料并全面复习文献,对FMM的诊断分型、手术策略、手术结果、术后并发症等进行分析讨论。结果本例FMM在显微镜下手术完全切除,术后无永久并发症,恢复良好。结论大部分FMM可通过手术获得全切,但手术创伤大、暴露难,并发症多样。Objective To explore the clinical characteristics and microsurgical treatment of foramen magnum meningioma （FMM）. Methods The clinical data of 1 patient with FMM who underwent microsurgery assisted by intraoperative neurophysiological monitoring via right far lateral approach were retrospectively analyzed. The relevant literatures were reviewed. Results The total resection of FMM was achieved in this patient in whom there was permanent complications and good prognosis. Conclusions It is very difficult to make a definite diagnosis of FMM on the early stage since there are no specific clinical manifestations. Microsurgery is an effective treatment for FMM. The intraoperative neurophysiological monitoring may help to decrease the postoperative complications.

关 键 词：脑膜瘤 枕骨大孔区 诊断 治疗 

分 类 号：R739.41[医药卫生—肿瘤] R651.11[医药卫生—临床医学]