摘要
目的:为经纵裂入路处理脑深部病变提供周密的外科策略,以进一步提高临床治疗效果。方法:1.在尸头上从事纵裂入路及其相关结构的显微解剖;2.研究并比较重T2加权翻转磁共振成像对纵裂区神经及血管结构的显示情况;3.回顾性分析经纵裂入路处理脑深部病变的临床治疗结果。结果与结论:1.术前通过DSA了解桥静脉的分布、侧支循环的建立及深静脉系统的构成对计划经纵裂入路十分重要;2.不同部位的病变所建立的侧支循环模式不同;3.重T2加权翻转磁共振成像能为经纵裂入路的术前策略提供更为丰富的信息;4.PC点是计划胼下型大脑前动脉远段动脉瘤外科策略的重要标志;5.熟悉纵裂入路相关的解剖和周密的术前、术中策略有助于提高脑深部病变的治疗效果。
Object. To provide thorough surgical strategies for the deep lesions by interhemispheric approaches and improve the operative outcomes of deep lesions. Methods. (1) Microsurgical anatomy of interhemispheric approaches and corresponding structures were made to adult cadaveric brains; (2)Heavily T2 weighted reversed magnetic resonance images (T2RMRI) were studied and compared about the presentation of the nerves and blood vessels in the interhemispheric fissure. (3)To analyze retrospectively clinical outcomes of deep cerebral lesions. Results and Conclusions. (1)It was very important for planning interhemispheric approaches to understand the distribution and patterns of collateral circulation of bridging veins and the organization of deep cerebral veins by DSA before surgery; (2)There were different patterns of collateral circulation of bridging veins by different lesions; (3) More information could be provided for planning interhemispheric approaches by T2RMRI. (4)The PC point was an important surgical landmark in planning the surgical strategy for treating infracallosal distal anterior cerebral artery aneurysms. (5) Familiarity with the anatomy relative to interhemispheric approaches and thorough preoperative and intraoperative surgical strategies were beneficial to improving the operative outcomes of deep lesions by interhemispheric approaches.
引文
1. EI-Noamany H, Nakagawa F, Hongo K, et al. Low anterior interhemispheric approach--a narrow corridor to aneurysms of the anterior communicating artery. Acta Neurochir (Wien),2001;143(9):885-891
2. Shirane R, Ching-Chan S, Kusaka Y, et al. Surgical outcomes in 31 patients with craniopharyngiomas extending outside the suprasellar cistern: an evaluation of the frontobasal interhemispheric approach. J Neurosurg,2002;96(4):704-712
3. Shibuya M, Takayasu M, Suzuki Y, et al. Bifrontal basal interhemispheric approach to craniopharyngioma resection with or without division of the anterior communicating artery. J Neurosurg,1996;84(6):951-956
4. Suzuki J, Katakura R, Mori T. Interhemispheric approach through the lamina terminalis to tumors of the anterior part of the third ventricle. Surg Neurol,1984;22(2):157-163
5. Konovalov AN, Gorelyshev SK. Surgical treatment of anterior third ventricle tumours. Acta Neurochir(Wien),1992;118(1-2):33-39
6. Paleologos TS, Wadley JP, Kitchen ND, et al. Interactive image-guided transcallosal microsurgery for anterior third ventricular cysts. Minim Invasive Neurosurg,2001;44(3):157-162
7. Behari S, Banerji D, Mishra A, et al. Intrinsic third ventricular craniopharyngiomas: report on six cases and a review of the literature. Surg Neurol,2003;60(3):245-253
8. Lawton MT, Golfinos JG, Spetzler RF. The contralateral transcallosal approach: experience with 32 patients. Neurosurgery,1996;39(4):729-735
9. Woiciechowsky C, Vogel S, Lehmann R, et al. Transcallosal removal of lesions affecting the third ventricle: an anatomic and clinical study. Neurosurgery, 1995;36(1):117-123
10. Bellotti C, Pappada G, Sani R, et al. The transcallosal approach for lesions affecting the lateral and third ventricles. Surgical considerations and results in a series of 42 cases. Acta Neurochir(Wien),1991;111(3-4):103-107
11. Villani R, Papagno C, Tomei G, et al. Transcallosal approach to tumors of the third ventricle. Surgical results and neuropsychological evaluation. J Neurosurg Sci,1997;41(1):41-50
12. Winkler PA, Weis S, Buttner A, et al. The transcallosal interforniceal approach to the third ventricle: anatomic and microsurgical aspects. Neurosurgery,1997;40(5):973-982
13. Rosenfeld JV, Freeman JL, Harvey AS. Operative technique: The anterior transcallosal transseptal interforniceal approach to the third ventricle and resection of hypothalamic hamartomas. J Clin Neurosci,2004;11(7):738-744
14. Winkler PA, Ilmberger J, Krishnan KG, et al. Transcallosal interforniceal-transforaminal approach for removing lesions occupying the third ventricular space: clinical and neuropsychological results. Neurosurgery,2000;46(4):879-890
15. Winkler PA, Weis S, Wenger E, et al. Transcallosal approach to the third ventricle: normative morphometric data based on magnetic resonance imaging scans, with special reference to the fornix and forniceal insertion. Neurosurgery, 1999;45(2):309-319
16. Apuzzo ML, Chikovani OK, Gott PS, et al. Transcallosal, interfornicial approaches for lesions affecting the third ventricle: surgical considerations and consequences. Neurosurgery,1982;10(5):547-554
17. Ture U, Yasargil MG, AI-Mefty O. The transcallosal-transforaminal approach to the third ventricle with regard to the venous variations in this region. J Neurosurg,1997;87(5):706-715
18. Dandy WE. An operation for the removal of pineal tumors. Surg Gynecol Obstet,1921;33:113-119
19. Herrmann HD, Winkler D, Westphal M. Treatment of tumours of the pineal region and posterior part of the third ventricle. Acta Neurochir(Wien),1992;116(2-4):137-146
20. Desai KI, Nadkarni TD, Muzumdar DP, et al. Surgical management of colloid cyst of the third ventricle--a study of 105 cases. Surg Neurol,2002;57(5):295-304
21. Liu JM, Garonzik IM, Eberhart CG, et al. Ectopic recurrence of craniopharyngioma after an interhemispheric transcallosal approach: case report. Neurosurgery,2002;50(3):639-645
22. Park J, Hamm IS. Anterior interhemispheric approach for distal anterior cerebral artery aneurysm surgery: preoperative analysis of the venous anatomy can help to avoid venous infarction. Acta Neurochir(Wien),2004;146(9):973-977
23. Kubota M, Saeki N, Yamaura A, et al. Influences of venous involvement on postoperative brain damage following the anterior interhemispheric approach. Acta Neurochir(Wien), 2001;143(4):321-326
24. Tsutsumi K, Shiokawa Y, Sakai T, et al. Venous infarction following the interhemispheric approach in patients with acute subarachnoid hemorrhage. J Neurosurg,1991;74(5):715-719
25. Fahlbusch R, Honegger J, Paulus W, et al: Surgical treatment of craniopharyngiomas: experience with 168 patients. J Neurosurg,1999;90:237-250
26. Lejeune JP, Le Gars D, Haddad E. [Tumors of the third ventricle: review of 262 cases]. Neurochirurgie.,2000;46(3):211-238
27. Erturk M, Kayalioglu G, Ozer MA, et al. Morphometry of the anterior third ventricle region as a guide for the transcallosal-interforniceal approach. Neurol Med Chir(Tokyo),2004;44(6):288-293
28. Andrews BT, Dujovny M, Mirchandani HG et al. Microsurgical anatomy of the venous drainage into the superior sagittal sinus. Neurosurgery, 1989; 24:514-520
29. Andeweg J. Consequences of the anatomy of deep venous outflow from the brain. Neuroradiology, 1999,41:233-241
30. de-Divitiis O, Angileri FF, d'Avella D, et al. Microsurgical anatomic features of the lamina terminalis. Neurosurgery,2002;50(3):563-570
31. Serizawa T, Saeki N, Yamaura A. Microsurgical anatomy and clinical significance of the anterior communicating artery and its perforating branches. Neurosurgery,1997; 40(6):1211-1218
32. Perlmutter D, Rhoton AL Jr. Microsurgical anatomy of the distal anterior cerebral artery. J Neurosurg,1978;49:204-228
33. Perlmutter D, Rhoton AL Jr. Microsurgical anatomy of the anterior cerebral-anterior communicating-recurrent artery complex. J Neurosurg,1976;45:259-272
34. Rhoton AL Jr, Yamamoto I, Peace DA. Microsurgery of the third ventricle: Part 2—Operative approaches. Neurosurgery,1981;8:357-373
35. Wen HT, Rhoton AL Jr, de Oliveira, E. Transchoroidal Approach to the Third Ventricle: An Anatomic Study of the Choroidal Fissure and Its Clinical Application. Neurosurgery,1998;42(6):1205-1219
36. Chaynes P. Microsurgical anatomy of the great cerebral vein of Galen and its tributaries. J Neurosurg,2003,99:1028-1038
1. Tsutsumi K, Shiokawa Y, Sakai T, et al. Venous infarction following the interhemispheric approach in patients with acute subarachnoid hemorrhage. J Neurosurg,1991;74:715-719
2. Xu W, Mellergard P, Ungerstedt U et al. Local changes in cerebral energy metabolism due to brain retraction during routine neurosurgical procedures. Acta Neurochir(Wien),2002;144:679-683
3. Sakaki T, Kakizaki T, Takeshima T et al. Importance of prevention of intravenous thrombosis and preservation of the venous collateral flow in bridging vein injury during surgery: an experimental study. Surg Neurol,1995;44:158-162
4. Andrews RJ, Muto RP. Retraction brain ischaemia: cerebral blood flow, evoked potentials, hypotension and hyperventilation in a new animal model. Neurol Res,1992;14:12-18
5. Ueda K, Nakase H, Miyamoto K. Impact of anatomical difference of the cerebral venous system on microcirculation in a gerbil superior sagittal sinus occlusion model. Acta-Neurochir-(Wien),2000;142(1):75-82
6. Schmidek HH, Auer LM, Kapp JP. The cerebral venous system. Neurosurgery,1985,17:663-678
7. Andrews BT, Dujovny M, Mirchandani HG et al. Microsurgical anatomy of the venous drainage into the superior sagittal sinus. Neurosurgery, 1989; 24:514-520
8. Sakaki T, Morimoto T, Takemura K, et al. Reconstruction of cerebral cortical veins using silicone tubing. Technical note. J Neurosurg,1987,66:471-473
9. Schaller B, Graf R, Sanada Y, et al. Hemodynamic changes after occlusion of the posterior superior sagittal sinus: an experimental PET study in cats. AJNR Am J Neuroradiol,2003;24(9):1876-1880
10. Hiyama H, Kubo O, Tajika Y, et al. Meningiomas associated with peritumoural venous stasis: three types on cerebral angiogram. Acta Neurochir(Wien),1994;129(1-2):31-38
11. Oka K, Go Y, Kimura H, et al. Obstruction of the superior sagittal sinus caused by parasagittal meningiomas: the role of collateral venous pathways. J Neurosurg,1994;81(4):520-524
12. Sindou M. Meningiomas invading the sagittal or transverse sinuses, resection with venous reconstruction. J Clin Neurosci,2001;8 Suppl 1:8-11
13. Bederson JB, Eisenberg MB. Resection and replacement of the superior sagittal sinus for treatment of a parasagittal meningioma: technical case report. Neurosurgery,1995;37(5):1015-1019
14. Steiger HJ, Reulen HJ, Huber P, et al. Radical resection of superior sagittal sinus meningioma with venous interposition graft and reimplantation of the rolandic veins. Case report.Acta Neurochir(Wien),1989;100(3-4):108-111
15. Murata J, Sawamura Y, Saito H, et al. Resection of a recurrent parasagittal meningioma with cortical vein anastomosis: technical note. Surg Neurol,1997;48(6):592-597
16. Hakuba A, Huh CW, Tsujikawa S, et al. Total removal ofa parasagittal meningioma of the posterior third of the sagittal sinus and its repair by autogenous vein graft. Case report. J Neurosurg,1979;51(3):379-382
17. Sekhar LN, Chanda A, Morita A. The preservation and reconstruction of cerebral veins and sinuses. J Clin Neurosci,2002;9(4):391-399
18. Waga S, Handa H. Scalp veins as collateral pathway with parasagittal meningiomas occluding the superior sagittal sinus. Neuroradiology,1976;11(4):199-204
19. Asari S, Maeshiro T, Tomita S, et al. Meningiomas arising from the falcotentorial junction. Clinical features, neuroimaging studies, and surgical treatment. J Neurosurg,1995;82(5):726-738
20. Oka K, Rhoton AL Jr, Barry M, et al. Microsurgical anatomy of the superficial veins of the cerebrum. Neurosurgery,1985;17:711-748
21. Sampei T, Yasui N, Okudera T, et al. Anatomic study of anterior frontal cortical bridging veins with special reference to the frontopolar vein. Neurosurgery,1996;38(5):971-975
22.万玉碧,黄家鼎,白永庆.大脑上静脉末段行路的观察.解剖学报,1983;14(4):337-343
23.徐明.大脑上静脉在上矢状窦各段内开口的观察.解剖学杂志,1991;(2):116-119
24.丁文学,王明璐,李崇谦.上矢状窦旁桥静脉的显微外科解剖.中国临床解剖学杂志,1997;15(2):88-91
25. Andeweg J. The anatomy of collateral flow from the brain and its value in aetiological interpretation of intracranial pathology. Neuroradiology,1996;38:621-628
26. Fujitsu K, Sekino T, Sakata K, et al. Basal interfalcine approach through a frontal sinusotomy with vein and nerve preservation. Technical note. J Neurosurg,1994;80(3):575-579
27. Morimoto T, Yamada T, Ishida Y, et al. Monitoring of venous blood flow velocity during interhemispheric approach for deep seated lesions. Acta-Neurochir-(Wien),1995;137(1-2):44-47
28. Park J. and Hamm IS. Anterior interhemispheric approach for distal anterior cerebral artery aneurysm surgery: preoperative analysis of the venous anatomy can help to avoid venous infarction. Acta Neurochir(Wien),2004,146(9):973-977
29. Mattle H, Edelman RR, Reis MA, et al. Flow quantification in the superior sagittal sinus using magnetic resonance. Neurology,1990;40(5):813-815
30. Tigliev GS, Oliushin VE, Gurchin AF, et al. [The collateral venous blood flow and the surgical procedure in parasagittal meningiomas]. Vestn Khir Im I I Grek,1999;158(1):9-12
31. Bitzer M, Topka H, Morgalla M, et al. Tumor-related venous obstruction and development of peritumoral brain edema in meningiomas. Neurosurgery,1998;42(4):730-737
32. Ono M, Rhoton AL, Peace D, et al. Microsurgical anatomy of the deep venous system of the brain. Neurosurgery, 1984,15:621-657
33.狄荣科.大脑髓质深层静脉的扫描电镜观察.镇江医学院学报,1996,6(2):117
34. Andeweg J. Consequences of the anatomy of deep venous outflow from the brain. Neuroradiology, 1999,41:233-241
1. FlitzPatrick M, Tartaglino LM, Hollander MD, et al. Imaging of sellar and parasellar pathology. Radiol Clin North Am, 1999;37:101-121
2. Elster AD. Modern imaging of the pituitary. Radiology,1993;187:1-14
3. Fujii Y, Nakayama N, Nakada T. High-resolution T2 reversed magnetic resonance imaging on a high magnetic field system. J Neurosurg,1998;89:492-495
4. Mamata Y, Muro I, Matsumae M, et al. Magnetic resonance cisternography for visualization of intracisternal.ne structures. J Neurosurg,1998;88:670-678
5. Naidich MJ, Russel EJ. Current approaches to imaging of sellar region and pituitary. Endoclinol Metab Clin North Am, 1999;28:45-79
6. Sumida M, Arita K, Migita K. Demonstration of the optic pathway in seller/juxtasellar tumors with visual disturbance onMRimaging. Acta Neurochir(Wien),1998;140:541-548
7. Shibuya M, Takayasu M, Suzuki Y. Bifrontal basal interhemispheric approach to craniopharyngioma resection with or without division of anterior communicating artery. J Neurosurg,1996;64:183-190
8. Serizawa T, Saeki N, Yamaura A. Microsurgical anatomy and clinical significance of the anterior communicating artery and its perforating branches. Neurosurg,1997;40:1211-1218
9. Saekil N, Murail H, Kubotal M, et al. Heavily T2 Weighted MR Images of Anterior Optic Pathways in Patients with Sellar and Parasellar Tumours-Prediction of Surgical Anatomy. Acta Neurochir(Wien),2002,144:25-35
10. Eda M, Saeki N, Fujimoto N, et al. Demonstration of the optic pathway in large pituitary adenoma on heavily T2 weighted MR images. Br-J-Neurosurg.2002;16(1):21-29
1. de Sousa AA, Dantas FL, de Cardoso GT, et al. Distal anterior cerebral artery aneurysms. Surg Neurol,1999;52(2):128-136
2. Kwon TH, Chung HS, Lim DJ, et al. Distal anterior cerebral artery aneurysms: clinical features and surgical outcome. J Korean Med Sci,2001;16(2):204-208
3. Wisoff JH, Flamm ES. Aneurysms of the distal anterior cerebral artery and associated vascular anomalies. Neurosurgery,1987;20(5):735-741
4. Inci S, Erbengi A, Ozgen T. Aneurysms of the distal anterior cerebral artery: report of 14 cases and a review of the literature. Surg Neurol,1998;50(2):130-140
5. Mann KS, Yue CP, Wong G: Aneurysms of the pericallosal-callosomarginal junction. Surg Neurol, 1984;21:261-266
6. Miyazawa N, Nukui H, Yagi S, et al: Statistical analysis of factors affecting the outcome of patients with ruptured distal anterior cerebral artery aneurysms. Acta Neurochir,2000;142:1241-1246
7. Proust F, Toussaint P, Hannequin D, et al: Outcome in 43 patients with distal anterior cerebral artery aneurysms. Stroke,1997;28:2405-2409
8. Snyckers FD, Drake CG: Aneurysms of the distal anterior cerebral artery. A report on 24 verified cases. S Afr Med J,1973;47:1787-1791
9. Becker DH, Newton TH. Distal anterior cerebral artery aneurysm. Neurosurgery,1979;4:495-503
10. Dechaume JP, Aimard G, Michael D, et al. Les aneurysmes de l'artere pericalleuse: A propos d'une serie de 12 observations. Neurochirurgie, 1973;19:135-150
11. Traynelis VC, Dunker RO. Interhemispheric approach with callosal resection for distal anterior cerebral artery aneurysms. Technical note. J Neurosurg,1992;77(3):481-483
12. Dyszkiewicz S, Danilewicz B, Czepko R, et al. [Surgery of the ruptured distal anterior cerebral artery aneurysms] Przegl Lek,2004;61(5):482-485
13. Suzuki J, Yoshimoto T. [Surgical treatment of distal anterior cerebral artery aneurysms (author's transl)] No Shinkei Geka,1977;5(1):29-33
14. Ng PY, Reilly PL, Brophy BP, et al. Distal anterior cerebral artery aneurysms: a clinical series. Br J Neurosurg,1998;12(3):209-212
15. Perlmutter D, Rhoton AL Jr: Microsurgical anatomy of the distal anterior cerebral artery. J Neurosurg,1978;49:204-228
16. Sindou M, Pelissou-Guyotat I, Mertens P, et al: Pericallosal aneurysms. Surg Neurol,1988;30:434-440
17. Yasargil MG, Carter LP: Saccular aneurysms of the distal anterior cerebral artery. J Neurosurg,1974;40:218-223
18. Sugar O, Tinsley M. Aneurysm of the terminal portion of anterior cerebral artery. Arch Neurol Psychiat,1948;60:81-85
19. Hernesniemi J, Tapaninaho A, Vapalahti M, et al: Saccular aneurysms of the distal anterior cerebral artery and its branches. Neurosurgery,1992;31:994-999
20. Ohno K, Monma S, Suzuki R, et al: Saccular aneurysms of the distal anterior cerebral artery. Neurosurgery,1990;27:907-913
21. Topsakal C, Ozveren MF, Erol FS, et al. Giant aneurysm of the azygos pericallosal artery: case report and review of the literature. Surg Neurol,2003;60(6):524-533
22. Vega-Basulto SD, Silva-Adan S, Mosquera-Betancourt G.[Distal anterior cerebral artery aneurysms surgery] Neurocirugia(Astur),2003;14(4):302-308
23. Sousa J, Iyer V, Roberts G. 'Mirror image' distal anterior cerebral artery aneurysms. A case report of two patients with review of literature. Acta Neurochir(Wien),2002;144(9):933-935
24. Yoshimoto T, Uchida K, Suzuki J. Surgical treatment of distal anterior cerebral artery aneurysms. J Neurosurg,1979;50(1):40-44
25. Kawashima M, Matsushima T, Sasaki T. Surgical strategy for distal anterior cerebral artery aneurysms: microsurgical anatomy. J Neurosurg,2003;99(3):517-525
26. Bellotti C, Pappada G, Sani R, et al: The transcallosal approach for lesions affecting the lateral and third ventricles. Surgical considerations and results in a series of 42 cases. Acta Neurochir,1991;111:103-107
27. Fuiks KS, Wyler AR, Hermann BP, et al: Seizure outcome from anterior and complete corpus callosotomy. J Neurosurg,1991;74:573-578
28. Fukushima T, Miyazaki S, Takusagawa Y, et al. Unilateral interhemispheric keyhole approach for anterior cerebral artery aneurysms. Acta Neurochir Suppl (Wien),1991;53:42-47
29. Wang S, Zhao JZ, Wang R, Qi W. [Trans-longitudinal fissure keyhole approach for distal anterior cerebral artery aneurysms] Zhongguo Yi Xue Ke Xue Yuan Xue Bao,2004;26(4):396-398
30. Hatayama T, Shima T, Okada Y, et al. [Ruptured distal anterior cerebral artery aneurysms presenting with acute subdural hematoma: report of two cases] No Shinkei Geka,1994;22(6):577-582
31. Watanabe K, Wakai S, Okuhata S, et al. Ruptured distal anterior cerebral artery aneurysms presenting as acute subdural hematoma--report of three cases. Neurol Med Chir (Tokyo),1991;31(8):514-517
32. Ban S, Sato S, Yamamoto T, Ogata M. [Distal anterior cerebral artery aneurysm causing acute subdural hematoma: report of two cases] No Shinkei Geka, 1985;13(8):911-916
33. Katsuno M, Murai Y, Teramoto A. [Acute subdural hematoma without subarachnoid hemorrhage following rupture of a distal anterior cerebral artery aneurysm: a case report]. No To Shinkei,2003;55(5):435-438
34. Awad IA, Little JR. Perioperative management and outcome after surgical treatment of anterior cerebral artery aneurysms. Can J Neurol Sci,1991;18(2):120-125
1. Shirane R, Ching-Chan S, Kusaka Y, et al. Surgical outcomes in 31 patients with craniopharyngiomas extending outside the suprasellar cistern: an evaluation of the frontobasal interhemispheric approach. J-Neurosurg,2002;96(4):704-712
2. Shibuya M, Takayasu M, Suzuki Y, et al. Bifrontal basal interhemispheric approach to craniopharyngioma resection with or without division of the anterior communicating artery. J Neurosurg,1996;84:951-956
3. Yasargil MG, Curcic M, Kis M, et al: Total removal of craniopharyngiomas. Approaches and long-term results in 144 patients. J Neurosurg,1990;73:3-11
4. Fahlbusch R, Honegger J, Paulus W, et al: Surgical treatment of craniopharyngiomas: experience with 168 patients. J Neurosurg,1999;90:237-250
5. Fujitsu K, Sekino T, Sakata K, et al. Basal interfalcine approach through a frontal sinusotomy with vein and nerve preservation. Technical note. J Neurosurg,1994; 80(3):575-579
6. Fujitsu K, Kuwabara T: Zygomatic approach for lesions in the interpeduncular cistern. J Neurosurg,1985;62:340-343
7. Maira G, Anile C, Colosimo C, et al: Craniopharyngiomas of the third ventricle: trans-lamina terminalis approach. Neurosurgery,2000;47:857-865
8. Behari S, Banerji D, Mishra A, et al. Intrinsic third ventricular craniopharyngiomas: report on six cases and a review of the literature. Surg-Neurol,2003;60(3):245-253
9. Nakajima M, Nakasu S, Hatsuda N et al. Third ventricular chordoid glioma: case report and review of the literature. Surg-Neurol,2003; 59(5):424-428
10. Desai KI, Nadkarni TD, Muzumdar DP et al. Surgical management of colloid cyst of the third ventricle--a study of 105 cases. Surg-Neurol,2002; 57(5):295-304
11. Maira G, Anile C, Colosimo C, et al. Craniopharyngiomas of the third ventricle: trans-lamina terminalis approach. Neurosurgery,2000;47(4):857-865
12. Giulio M, Carmelo A, Franco RG, et al. Surgical Treatment of Craniopharyngiomas: An Evaluation of the Transsphenoidal and Pterional Approaches. Neurosurgery, 1995, 36;715-724
13.赵洪洋,朱贤立,赵沃华等.翼点入路经终板切除鞍区肿瘤的显微外科技术.中国临床神经外科杂志,2002;7(3):146-148
14.谭占国,宋来君,王树凯等.翼点入路经终板切除三脑室型颅咽管瘤10例.郑州大学学报·医学版,2002;37(1):93-94
15.王晓明,周良辅.脑室内外型颅咽管瘤的显微外科手术.中华显微外科杂志,1995;18(1):1-3
16.王守森,章翔,王如密等.经终板入路的显微解剖研究.中华神经外科疾病研究杂志,2002;1(3):243-245
17. de-Divitiis O, Angileri FF, d'Avella D, et al. Microsurgical anatomic features of the lamina terminalis. Neurosurgery,2002;50(3):563-570
18. Abdou MS, Cohen AR. Endoscopic surgery of the third ventricle: the subfrontal trans-lamina terminalis approach. Minim-lnvasive-Neurosurg, 2000;43(4):208-211
19. Andaluz N, Van-Loveren HR, Keller JT, et al. Anatomic and clinical study of the orbitopterional approach to anterior communicating artery aneurysms. Neurosurgery,2003; 52(5): 1140-1149
20. Serizawa T, Saeki N, Yamaura A. Microsurgical anatomy and clinical significance of the anterior communicating artery and its perforating branches. Neurosurgery,1997; 40(6):1211-1218
21. Pascuall JM, lez-Llanos G, Barrios L, et al. Intraventricular craniopharyngiomas: topographical classification and surgical approach selection based on an extensive overview. Acta Neurochir(Wien),2004,
22. Suzuki J, Mizoi K, Yoshimoto T. Bifrontal interhemispheric approach to aneurysms of the anterior communicating artery. J Neurosurg,1986;64:183-190
23. Ito Z. The microsurgical anterior interhemispheric approach suitably applied to ruptured aneurysms of the anterior communicating artery in the acute stage. Acta Neurochir(Wien),1982;63(1-4):85-99
24. Yeh H,Tew JM Jr. Anterior interhemispheric approach to aneurysms of the anterior communicating artery. Surg-Neurol,1985;23(2):98-100
25. Suzuki J, Katakura R, Mori T. Interhemispheric approach through the lamina terminalis to tumors of the anterior part of the third ventricle. Surg Neurol,1984;22:157-163
26. Fujiwara H,Yasui N,Nathal Vera E, et al. Anosmia after anterior communicating artery aneurysm surgery: comparison between the anterior interhemispheric and basal interhemispheric approaches. Neurosurgery,1996;38(2):325-328
27. Suzuki J, Yoshimoto T, Mizoi K: Preservation of the olfactory tract in bifrontal craniotomy for anterior communicating artery aneurysms, and the functional prognosis. J Neurosurg,1981;54:342-345
28. Kurokawa Y, Uede T, Honda O, et al. [Technical tactics to preserve cortical venous drainage in interhemispheric approach for anterior communicating artery aneurysms]. No-Shinkei-Geka. 1994;22(1):29-34
29. Caroli E, Rocchi G, D'Andrea G, et al. Management of the entered frontal sinus. Neuro surg Rev, 2004;27:286-288
30. El-Noamany H, Nakagawa F, Hongo K, et al. Low Anterior Interhemispheric Approach-A Narrow Corridor to Aneurysms of the Anterior Communicating Artery. Acta Neurochir (Wien),2001;143:885-891
31. Symon L, Sprich W: Radical excision of craniopharyngioma. Results in 20 patients. J Neurosurg,1985:62:174-181
1. Yasargil MG, Curcic M, Kis M, et al. Total removal of craniopharyngiomas. J Neurosurg,1990;73:3-11
2. Maira G, Anile C, Colosimo C, et al. Craniopharyngiomas of the Third Ventricle: Trans-Lamina Terminalis Approach. Neurosurgery,2000;47:857-865
3. Shirane R, Ching-Chan S, Kusaka Y, et al. Surgical outcomes in 31 patients with craniopharyngiomas extending outside the suprasellar cistern: an evaluation of the frontobasal interhemispheric approach. J Neurosurg,2002;96(4):704-712
4. Fahlbusch R, Honegger J, Paulus W, et al. Surgical treatment of craniopharyngiomas: experience with 168 patients. J Neurosurg,1999;90(2):237-250
5. Winkler PA, Weis S, Buttner A, et al. The transcallosal interforniceal approach to the third ventricle: anatomic and microsurgical aspects. Neurosurgery,1997;40(5):973-982
6. Winkler PA, Ilmberger J, Krishnan KG, et al. Transcallosal interforniceal-transforaminal approach for removing lesions occupying the third ventricular space: clinical and neuropsychological results. Neurosurgery,2000;46(4):879-890
7. Miyoshi Y, Yunoki M, Yano A, et al. Diencephalic syndrome of emaciation in an adult associated with a third ven tricle intrinsic crani o pharyngioma: case report. Neurosurgery,2003;52(1):224-227
8. Winkler PA, Weis S, Wenger E, et al. Transcallosal Approach to the Third Ventricle: Normative Morphometric Data Based on Magnetic Resonance Imaging Scans, with Special Reference to the Fornix and Forniceal Insertion. Neurosurgery, 1999;45(2):309-319
9. Timurkaynak E, Rhoton AL Jr, Barry M: Microsurgical anatomy and operative approaches to the lateral ventricles. Neurosurgery,1986;19:685-723
10. Abe T, Sugishita M, Yatsuzuka S, et al. Transcallosal interforniceal approach for a posteriorly projecting high basilar bifurcation aneurysm. Case report. J Neurosurg,1993;78(6):970-973
11. Ture U, Yasargil MG, Krisht AF: The arteries of the corpus callosum: a microsurgical anatomic study. Neurosurgery,1996;39:1075-1085
12. Kakou M, Destrieux C, Velut S. Microanatomy of the pericallosal arterial complex. J Neurosurg,2000;93:667-675
13. Perlmutter D, Rhoton AL Jr. Microsurgical anatomy of the distal anterior cerebral artery. J Neurosurg,1978;49:204-228
14.刘宗惠 胡威夷译.神经系统疾病定位诊断学—解剖、生理、临床.海洋出版社.北京.1995,P214-215
15. Serizawa T, Saeki N, Yamaura A. Microsurgical anatomy and clinical significance of the anterior communicating artery and its perforating branches. Neurosurgery,1997;40(6):1211-1218
16. Fujii K, Lenkey C, Rhoton AL Jr. Microsurgical anatomy of the choroidal arteries: Lateral and third ventricles. J Neurosurg,1980;52:165-188
17. Gomes FB, Dujovny M, Umansky F, et al. Microanatomy of the anterior cerebral artery. Surg Neurol,1986;26:129-141
18. Marinkovic S, Milisavljevic M, Marinkovic Z. Branches of the anterior communicating artery. Acta Neurochir, 1990;106:78-85
19. Perlmutter D, Rhoton AL Jr. Microsurgical anatomy of the anterior cerebral-anterior communicating-recurrent artery complex. J Neurosurg,1976;45:259-272
20. Perlmutter D, Rhoton AL Jr. Microsurgical anatomy of the distal anterior cerebral artery. J Neurosurg,1978;49:204-228
21. Rhoton AL Jr, Yamamoto I, Peace DA. Microsurgery of the third ventricle: Part 2—Operative approaches. Neurosurgery,1981;8:357-373
22. Timurkaynak E, Rhoton AL Jr, Barry M. Microsurgical anatomy and operative approaches to the lateral ventricles. Neurosurgery,1986;19:685-723
23. Vincentelli F, Lehman G, Caruso G, et al. Extracerebral course of the perforating branches of the anterior communicating artery: Microsurgical anatomical study. Surg Neurol,1991;35:98-104
24. Yamamoto I, Rhoton AL Jr, Peace DA. Microsurgery of the third ventricle: Part I—Microsurgical anatomy. Neurosurgery, 1981;8:334-356
25. Shibuya M, Takayasu M, Suzuki Y, et al. Bifrontal basal interhemispheric approach to craniopharyngioma resection with or without division of the anterior communicating artery. J Neurosurg, 1996;84(6): 951-956
26. Abe T, Sugishita M, Yatsuzuka S, et al. Transcallosal interforniceal approach for a posteriorly projecting high basilar bifurcation aneurysm. Case report. J Neurosurg, 1993;78(6): 970-973
27. Wen HT, Rhoton AL Jr, de Oliveira, E. Transchoroidal Approach to the Third Ventricle: An Anatomic Study of the Choroidal Fissure and Its Clinical Application. Neurosurgery, 1998;42(6): 1205-1219
28. Hosoi K, Tomita H, Tamaki N. [Clipping of an aneurysm of the posterior cerebral artery via the transcortical transchoroidal-fissure approach: a case report]. No-Shinkei-Geka,2000; 28(1): 89-93
29. Apuzzo ML, Chikovani OK, Gott PS, et al. Transcallosal, interfornicial approaches for lesions affecting the third ventricle: Surgical considerations and consequences. Neurosurgery, 1982; 10:547-554
30. Konovalov AN, Gorelyshev SK. Surgical treatment of anterior third ventricular tumours. Acta Neurochir (Wien), 1992; 118:33-39
31. Ebeling U, Rikli D, Huber P, Reulen H-J: The coronal suture, a useful bony landmark in neurosurgery? Craniocerebral topography between bony landmarks on the skull and the brain. Acta Neurochir (Wien),1987;89:130-134
32. Shucart W. Anterior transcallosal and transcortical approaches, in Apuzzo MLJ (ed): Surgery of the Third Ventricle. Baltimore, Williams & Wilkins, 1987, pp 303-32
33. Ture U, Yasargil MG, Al-Mefty O: The transcallosal-transforaminal approach to the third ventricle with regard to the venous variations in this region. J Neurosurg,1997;87:706-715
34. Weis S, Kimbacher M, Wenger E, Neuhold A. Morphometric analysis of the corpus callosum using MR: Correlation of measurements with aging in healthy individuals. AJNR Am J Neuroradiol, 1993; 14:637-645
35. Wilson CL, Isokawa M, Babb TL, et al. Functional connections in the human temporal lobe: I—Analysis of limbic system pathways using neuronal responses evoked by electrical stimulation. Exp Brain Res, 1990;82:279-292
36. Mark LP, Daniels DL, Naidich TP. The fornix. AJNR Am J Neuroradiol,1993;14:1355-1358
37. Lang J, Ederer M. Shape and size of the corpus callosum and the septum pellucidum. Gegenbaurs Morphol Jahrb, 1980;6:949-958
1. Amendola BE, Wolf A, Coy SR, et al. Pineal tumors: analysis of treatment results in 20 patients. J Neurosurg,2005; 102 Suppl: 175-179
2. Bruce JN, Ogden AT. Surgical strategies for treating patients with pineal region tumors. J Neurooncol,2004;69(1-3):221-236
3. Kondziolka D, Hadjipanayis CG, Flickinger JC, et al. The role of radiosurgery for the treatment of pineal parenchymal tumors. Neurosurgery,2002;51(4):880-889
4. Kobayashi T, Kida Y, Mori Y. Stereotactic gamma radiosurgery for pineal and related tumors. J Neurooncol,2001 ;54(3):301-309
5. Yamini B, Refai D, Rubin CM, et al. Initial endoscopic management of pineal region tumors and associated hydrocephalus: clinical series and literature review. J Neurosurg Spine,2004; 100(5):437-441
6. Fischer B, Palkovic S, Wassmann H. Treatment strategy of pineal tumors in consideration of their pathomorphology. Bratisl Lek Listy,2004; 105(3):95-100
7. Calaminus G, Bamberg M, Jurgens H, et al. Impact of surgery, chemotherapy and irradiation on long term outcome of intracranial malignant non-germinomatous germ cell tumors: results of the German Cooperative Trial MAKEI 89. Klin Padiatr,2004;216(3): 141-149
8. Reddy AT, Wellons JC 3rd, Allen JC, et al. Refining the staging evaluation of pineal region germinoma using neuroendoscopy and the presence of preoperative diabetes insipidus. Neuro-oncol,2004;6(2): 127-133
9. Oi S, Shibata M, Tominaga J, et al. Efficacy of neuroendoscopic procedures in minimally invasive preferential management of pineal region tumors: a prospective study. J Neurosurg,2000;93(2):245-253
10. Schulder M, Liang D, Carmel PW. Cranial surgery navigation aided by a compact intraoperative magnetic resonance imager. J Neurosurg,2001;94(6):936-945
11. Bruce JN, Stein BM. Surgical management of pineal region tumors. Acta Neurochir (Wien). 1995; 134(3-4):130-135
12. Konovalov AN, Pitskhelauri DI. Principles of treatment of the pineal region tumors. Surg Neurol,2003;59(4):250-268
13. Mandera M, Marcol W, Bierzynska-Macyszyn G, et al. Pineal cysts in childhood. Childs Nerv Syst,2003; 19(10-11):750-755
14. Fain JS, Tomlinson FH, Scheithauer BW, et al. Symptomatic glial cysts of the pineal gland. J Neurosurg, 1994;80(3):454-460
15. Klein P, Rubinstein LJ. Benign symptomatic glial cysts of the pineal gland: a report of seven cases and review of the literature. J Neurol Neurosurg Psychiatry,1989;52(8):991-995
16. Asari S, Maeshiro T, Tomita S, et al. Meningiomas arising from the falcotentorial junction. Clinical features, neuroimaging studies, and surgical treatment. J Neurosurg, 1995;82(5):726-738
17. Hancq S, De Witte O, Brotchi J. [Pineal region surgery. Experience in 22 patients]. Neurochirurgie,2002;48(1): 14-24
18. Little KM, Friedman AH, Fukushima T. Surgical approaches to pineal region tumors. J Neurooncol,2001 ;54(3):287-299
19. Chandy MJ, Damaraju SC. Benign tumours of the pineal region: a prospective study from 1983 to 1997. Br J Neurosurg, 1998; 12(3):228-233
20. Tamaki N, Yin D. Therapeutic strategies and surgical results for pineal region tumours. J Clin Neurosci. 2000 Mar;7(2): 125-128
21. Cho BK, Wang KC, Nam DH, et al. Pineal tumors: experience with 48 cases over 10 years. Childs Nerv Syst,1998;14(1-2):53-58
22. Ziyal IM, Sekhar LN, Salas E, et al. Combined supra/infratentorial-transsinus approach to large pineal region tumors. J Neurosurg, 1998;88(6): 1050-1057
23. Shirane R, Shamoto H, Umezawa K, et al. Surgical treatment of pineal region tumours through the occipital transtentorial approach: evaluation of the effectiveness of intra-operative micro-endoscopy combined with neuronavigation. Acta Neurochir (Wien),1999;141(8):801-809
24. Chaynes P. Microsurgical anatomy of the great cerebral vein of Galen and its tributaries. J Neurosurg, 2003,99:1028-1038
25. Chaynes P. Microsurgical anatomy of the venous drainage of the mesencephalodiencephalic junction. Neurosurgery,2004;54(3):678-686
26. Pluchino F, Broggi G, Fornari M, et al. Surgical approach to pineal tumours. Acta Neurochir (Wien). 1989;96(1-2):26-31
27. Kang JK, Jeun SS, Hong YK, et al. Experience with pineal region tumors. Childs Nerv Syst, 1998; 14(1-2) :63-68
28. Drummond KJ, Rosenfeld JV. Pineal region tumours in childhood. A 30-year experience. Childs Nerv Syst,1999 ;15(2-3):119-127
29. Kanno T. Surgical pitfalls in pinealoma surgery. Minim Invasive Neurosurg, 1995;38(4): 153-157
30. Nazzaro JM, Shults WT, Neuwelt EA. Neuro-ophthalmological function of patients with pineal region tumors approached transtentorially in the semisitting position. J Neurosurg, 1992;76(5):746-751
31. Kiya K, Satoh H, Mizoue T, et al. Postoperative cortical venous infarction in tumours firmly adherent to the cortex. J Clin Neurosci,2001 ;8 Suppl 1 : 109-113
32. Kawashima M, Rhoton AL Jr, Matsushima T. Comparison of posterior approaches to the posterior incisural space: microsurgical anatomy and proposal of a new method, the occipital bi-transtentorial/falcine approach. Neurosurgery,2002;51(5):1208-1221
33. Dandy WE. An operation for the removal of pineal tumors. Surg Gynecol Obstet,1921;33:113-119
34. Jamieson KG: Excision of pineal tumors. J Neurosurg,1971;35:550-553
35. Page LK. The infratentorial-supracerebellar exposure of tumors in the pineal area. Neurosurgery, 1977; 1:36-40
36. Reid WS, Clark WK. Comparison of the infratentorial and transtentorial approaches to the pineal region. Neurosurgery, 1978;3:1-8
37. Stein BM. The infratentorial supracerebellar approach to pineal lesions. J Neurosurg, 1971;35:197-202
38. Ono M, Rhoton AL Jr, Peace D, et al. Microsurgical anatomy of the deep venous system of the brain. Neurosurgery, 1984; 15:621-657
39. Dandy WE. Operative experience in cases of pineal tumor. Arch Surg, 1936;33:19-46
40. Kunicki A. Operative experiences in 8 cases of pineal tumor. J Neurosurg, 1960; 17:815-823
41. Suzuki J, Iwabuchi T. Surgical removal of pineal tumors (pinealomas and teratomas). Experience in a series of 19 cases. J Neurosurg,1965;23:565-571
42. Ono M, Ono M, Rhoton AL Jr, et al. Microsurgical anatomy of the region of the tentorial incisura. J Neurosurg, 1984;60:365-399
43. Yamamoto I, Kageyama N. Microsurgical anatomy of the pineal region. J Neurosurg, 1980;53:205-221
44.孙善全,郑履平.松果体区显微外科解剖研究.中国神经精神疾病杂志,1996;22(4):196-199
45. Tamaki N, Taomoto K, Fujiwara K, et al. The venous drainage of the tectum mesencephali: An anatomical angiographic study of the quadrigeminal veins. Neuroradiology, 1976; 11: 151-157
46. Yamamoto I, Rhoton AL Jr, Peace DA. Microsurgery of the third ventricle: Part 1—Microsurgical anatomy. Neurosurgery, 1981 ;8:334-356
47. Rhoton AL Jr, Yamamoto I, Peace DA. Microsurgery of the third ventricle: Part 2—Operative approaches. Neurosurgery, 1981 ;8:357-373
48. Browder J, Kaplan HA, Krieger AJ. Anatomical feature of the straight sinus and its tributaries. J Neurosurg, 1976;44:55-61
49. Signargout J, Simon J, Duval JM. Le veine basilaire. Variations et semeiologie. J Radiol Electrol Med Nucl, 1972;53:317-328
50. Velut S, Santini JJ. Anatomie michrochirurgicale de I'ampoule de Galien. Neurochirurgie, 1987;33:264-271
51. Schlesinger B. The tolerance of the blocked galenic system against artificially increased intravenous pressure. Brain, 1940;63:178-183
52. Hammock MK, Milhorat TH, Earle K, et al. Vein of Galen ligation in the primate. Angiographic, gross, and light microscopic evaluation. J Neurosurg, 1971;34:77-83
53. Asari S, Maeshiro T, Tomita S, et al. Meningiomas arising from the falcotentorial junction. Clinical features, neuroimaging studies, and surgical treatment. J Neurosurg, 1995;82(5):726-738
54. Van Wagenen WP. A surgical approach for the removal of certain pineal tumors. Report of a case. Surg Gynecol Obstet,1931;53:216-220
55. Yasargil MG. Microneurosurgery: In 4 Volumes. New York: Georg Thieme Verlag, 1984, Vol Ⅰ, p 242
56. Van den Bergh R. Lateral-paramedian infratentorial approach in lateral decubitus for pineal tumors. Clin Neurol Neurosurg,1990;92:311-316
57. Ueyama T, Al-Mefty O, Tamaki N. Bridging veins on the tentorial surface of the cerebellum: a microsurgical anatomic study and operative considerations. Neurosurgery,1998;43:1137-1145
58. Herrmann HD, Winkler D, Westphal M. Treatment of tumours of the pineal region and posterior part of the third ventricle. Acta Neurochir (Wien), 1992; 116(2-4): 137-146
59. Baumgartner JE, Edwards MS. Pineal tumors. Neurosurg Clin N Am,1992;3(4):853-862