Neurological Surgery 脳神経外科52巻5号

2024年09月発行

特集 くも膜下出血のニューフロンティア—病態の再考と治療の進化 Ⅲ 破裂脳動脈瘤に対する直達術

外側後頭下アプローチによる椎骨動脈および後下小脳動脈瘤の直達手術

著者： 杉山拓¹ 藤村幹¹

所属機関： ¹北海道大学大学院医学研究院脳神経外科

ページ範囲：P.974 - P.984

Point
・椎骨・後下小脳動脈瘤は，紡錘状・広基性のものが多いこと，脳幹穿通枝や下位脳神経群が近接していること，周囲に独特な骨構造があることが特徴的である．
・アプローチに際して，far lateral approachを含む外側後頭下開頭のバリエーションについて習熟することが望ましい．
・後頭動脈—後下小脳動脈バイパスを含む後下小脳動脈の再建法を習熟することが望ましい．
＊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10月まで）。

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