Hemangioblastoma of the pons and middle cerebellar peduncle
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2024-1-24 17:58
好好的告个别吧~
手术无菌技术
桡骨创伤入路A部分
Total laparoscopic hysterectomy
骨关节炎
腰椎椎间关节经椎板螺丝钉固定
肝门胆管癌切除术(86例切除经验 1983-1993)
李国新超声刀九字诀之综合应用:解剖肠系膜下动脉
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Satoshi Kiyofuji, MD,1 Harry J. Cloft, MD, PhD,2 Colin L. W. Driscoll, MD,3 and Michael J. Link, MD1
Departments of 1Neurologic Surgery, 2Radiology, and 3Otorhinolaryngology, Mayo Clinic, Rochester, Minnesota
A 60-year-old man with a history of four prior operations for a left cerebellar/middle cerebellar peduncle hemangioblastoma presented with hearing loss, imbalance, and ataxia (de la Monte and Horowitz, 1989). Magnetic resonance imaging (MRI) demonstrated a 3-cm cystic mass with heterogeneous enhancement in the same location. We resected the mass via reopening of the retrosigmoid approach (Lee et al., 2014). Left cranial nerves IV, V, VII, VIII, IX, X, and XI were all well identified and preserved, and feeding arteries from the brainstem were meticulously coagulated and transected without violating the tumor-brainstem interface (Chen et al., 2013). Preoperative embolization greatly aided safe resection of the mass, whose pathology revealed recurrence of hemangioblastoma (Eskridge et al., 1996; Kim et al., 2006; Sakamoto et al., 2012).
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