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《Chinese Journal of Neuromedicine》 2007-11
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Resection of neoplasms involving the fourth ventricle of children via the cerebellomedullary fissure approach

YANG Hong WANG Jian LIANG Jian-min FANG Ze-lu.Department of Neurosurgery,the Second Affiliated Hospital of Guangzhou Medical College,Guangzhou 510260,China  
Objective To investigate the clinical effects and surgical techniques of the transcerebellomedullary fissure approach to resect the fourth ventricle neoplasms in children.Methods All the 32 cases with the fourth ventricle neoplasms underwent resection via the suboceipital median approach or cerebeliomedullary fissure approach,or posterior fossa cranioplasty;some eases also had their cerebellar vermis incised.Results Among the 32 cases,total resection was achieved in 25,and subtotal resection in 7.No died case was found.Symptoms of ataxia and vision decrease in these children were alleviated after the operation.One case developed facial nerve injury and 2 cases developed incomplete mutism after the operation,but all recovered 3 weeks later.Conclusion The transcerebellomedullary fissure approach can provide a panoramic view between the two lateral recesses and from the obex to the aqueduct without incision of cerebellar inferior vermis or injury to cerebellar tissues.The posterior inferior cerebellar artery(PICA)and its branches should be protected during resection.If necessary,neoplasms can be excised through splitting the cerebellar vermis according to the pathological characteristics of neoplasms.
【Fund】: 广东省科技计划项目(2004B33801015)
【CateGory Index】: R739.41
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【Citations】
Chinese Journal Full-text Database 1 Hits
1 YANG Hong,ZHU Jiankun,LIANG Jianmin, et al.Dept.of Neurosurgery of 2nd Affiliated Hospital of Guangzhou Medical College, Guangzhou 510260, China;Microsurgery of pediatric 4th ventricle tumor:report with 40 cases[J];Chinese Journal of Neurosurgery;2002-06
【Co-citations】
Chinese Journal Full-text Database 10 Hits
1 CHEN Qing,JIANG Fan(Department of Ultrasonography,The First Affiliated Hospital of Anhui Medical University,Hefei 230022);Preoperative diagnosis of ultrasonic on neurogenic tumour[J];Anhui Medical and Pharmaceutical Journal;2008-03
2 Jin-guang Ma~1;Dong-hua Li~1;Ling Li~2 1. Department of Neurosurgery, People' s Hospital of Huadu, Guangzhou 510800 P. R. China 2. Tong Ji Hospital, Huazhong University of Science & Technology, Wuhai 430030, P. R. China;Gliomatosis Cerebri: Report on 3 Cases[J];Chinese Journal of Neuro-Oncology;2003-02
3 GENG Shaomei, JIAO Baohua, SUN XiaofengDepartment of Neurosurgery, Second Affiliated Hospital, Hebei Medical University, Shijiazhuang 050000, China;Diagnosis of primary intracranial malignant lymphoma by clinical and imaging characteristics[J];Chinese Journal of Neuromedicine;2004-03
4 ;Cerebellum reversible demyelinating changes by wernicke’s encephalopathy[J];Chinese Journal of CT and MRI;2004-01
5 HE Xiao Sheng, ZHANG Xiang, FEI Zhou, LIU Wei Ping, FU Luo an, ZHANG Jian Ning, LI Xia PLA Institute of Neurosurgery, Xijing Hospital, Fourth Military Medical University, Xi'an 710033, China;Operative resection of the fourth ventricular tumors in children[J];Journal of The Fourth Military Medical University;2004-03
6 CHEN Nan,LI Kun-cheng,QIN Wen.Department of Radiology,Xuanwu Hospital,Capital University of Medical Sciences,Beijing 100053,P.R.China;The Value of MRI in the Clinical Staging of Spinal Cord Multiple Sclerosis[J];Radiologic Practice;2005-09
7 (ZHOU Yi-wu, ZHANG Yi-gu, DENG Wei-nian, et al. Department of Forensic Pathology, Tongji Medical College, MUST, Wuhan 430030, China);The study of forensic histopathology of 85 adults of the human brain contusion[J];Chinese Journal of Forensic Medicine;2005-01
8 Zhou Zhuoyan,He Sichun,Qin li,et al.Department of Physiology,Medical College of Jinan University,Guangzhou,510632,China;The relationship between the morphology of nucleus cochleares and nucleus olivaris rostralis and the changes of brainstem auditory evoked potential in diabetic rats[J];Anatomy Research;2000-02
9 Zhang Yun,Tang Xifan,Kong Fanrong,et al Department of Rehabilitation,Affiliated Hospital of Guilin Medical College(Guilin 541001);The changes of serum lactic acid dehydrogenase and serum creatine kinase before and after rehabilitating treatment in patients with lumbar disc herniation[J];Guangxi Medical Journal;2002-09
10 CHEN Jian, JIANG Lian, WU Xiu-huang, RONG Xiao-ping, DIAO Yu-qiao, ZHAO Xiao-xian (Department of Pediatrics, the Fourth Hospital of Hebei Medical University, Shijiazhuang 050011,China);EFFECT OF HYPOXIA-ISCHEMIA ON GLUTAMATE IN BRAIN OF NEONATAL RATS AND ITS DAMAGE[J];Journal of Hebei Medical University;2004-01
【Secondary Citations】
Chinese Journal Full-text Database 1 Hits
1 Zhang Yuqi, Chungcheng Wang, Ma Zhenyu, et al. Department of Neurosurgery, Beijing Tiantan Hospital, Beijing 100050;Operative approaches and craniotomy for posterior fossa tumors in children[J];CHINESE JOURNAL OF NEUROSURGERY;1998-05
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