Lateral fissure Microsurgical treatment of glioma.docVIP

 PAGE \* MERGEFORMAT 9 Lateral fissure Microsurgical treatment of glioma Of: Chen Min, Wu Xuesong, Panrong Nan, Li, Luo Yunping [Keywords:] glioma side of the minimally invasive surgery in Split Gliomas are the most common intracranial tumors, intracranial tumors in the domestic accounts for 35.26% ~ 60.96% (average 44.69% [1]. Gliomas sylvian area around the middle cerebral artery and its blood vessels and other important and deep branch of the importance of nerve tissue, the operation carried out mainly in the vascular trunk space, to achieve total resection of the tumor without damaging normal sylvian vessels and brain tissue, surgery is difficult .2001 July to September 2007, we applied was micro-surgical treatments for lateral fissure in 17 cases of glioma, and achieved good results, are as follows. Materials and Methods 1. General Information The group 9 males and 8 females, aged 27 to 69 years, mean 51 years, duration of 1 month to 30 months. To headache, vomiting and other symptoms of increased intracranial pressure as the first 11 cases, epilepsy led Symptom 6 cases, 8 cases of contralateral hemiplegia, papilledema in 6 cases. 2. Imaging All patients underwent CT or MRI examination, CT shows low-density or the other side of the fissure density lesions affect the majority of cases for the large area of #8203;#8203;low-density areas, and the surrounding tissue boundary is unclear, no enhancement after enhancement, MRI lateral fissure showed low signal T1, T2 high signal, enhanced lesion with irregular enhancement surrounding brain edema, midline shift, with the lateral pressure. 3. Craniotomy for treatment of 17 cases are used by the wing point or expanding pterional craniotomy, the dura cut after the exposure side of the cistern, sharp separation under the microscope side cistern arachnoid, cerebrospinal fluid released, to protect lateral fissure blood vessels, revealed the tumor, the first within the frontal or temporal lobe tumor