Neurological Surgery 脳神経外科52巻1号

2024年01月発行

特集 脳神経圧迫症候群のすべて—診断・治療・手術のポイント Ⅳ 脳神経減圧術の難題

脳神経減圧術におけるtranspositionの優位性—文献的考察を含めて

著者： 野村契¹

所属機関： ¹豊橋ハートセンター脳神経外科

ページ範囲：P.151 - P.158

Point
・Interposition手術は，時間とともにprosthesisの硬化や線維化が進むことや，慢性炎症などの長期的な合併症を引き起こすリスクが指摘されている．
・Transposition手術は，interposition手術の限界を克服し，三叉神経痛と顔面痙攣の効果的な治療法として認識されている．
・一部の複雑なケース（例：太い血管，short perforatorの存在など）ではinterpositionが選択され，効果と安全性が検証されている．
＊本論文中、［Video］マークのある図につきましては、関連する動画を見ることができます（公開期間：2027年2月まで）。

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