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《Chinese Journal of Clinical Neurosurgery》 2015-06
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Study of anatomy related to microsurgery through anterior interhemispheric approach for sellar lesions

LOU Yong-li;GUO Yong-kun;ZHANG Hui;MIN You-hui;Department of Neurosurgery,Central Hospital of Zhengzhou;  
Objective To provide the anatomical support for the microsurgery through anterior interhemispheric approach in thepatients with sellar lesions.MethodsThe microsurgery through anterior interhemispheric approach for the sellar lesions was simulatedon 9 adult cadaveric heads. The important anatomical structures related to the microsurgery were observed and measured.ResultsThedistances from the sphenoidal crest to the anterior clinoid process, intracranial exit of optic nerve, the front edge of the optic chiasm andhypophysis stalk were(40.4 ± 3.2) mm,(35.6 ± 3.5) mm,(39.8 ± 3.6) mm and(42.1 ± 3.9) mm respectively. The distances from theintercilium to the above-mentioned structures were(69.9±4.2) mm,(63.4±4.3) mm,(68.1±4.6) mm and(72.6±5.3) mm respectively. Theimportant structures such as olfactory triangle, optic nerve, optic chiasma and so on were exposed well by the microsurgery through theanterior interhemispheric approach, which made the large space enough to operation according to the end plate area [(50.9±2.9) mm2]and distance from the end plate to the front section of the frontal lobe [(57.6±2.8) mm].ConclusionThe surgery through the anteriorinterhemispheric approach is appropriate for the resection of the lesion in the sellar as well as the lesions extending upward, or forwardfrom the sellar region or into in the third ventricle because it may expose the lesion and important structures in the sellar region.
【CateGory Index】: R651;R322.8
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