Supracondylar transjugular tubercle approach to intradural lesions anterior or anterolateral to the craniocervical junction without resection of the occipital condyle
To clarify the usefulness of supracondylar transjugular tubercle approach for treatment intradural lesions anterior and anterolateral to foramen magnum, in which the posterior portion of the jugular tubercle is removed extradurally through the condylar fossa with the atlanto-occipital joint intact....
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| Veröffentlicht in: | Turkish neurosurgery 2013, Vol.23 (2), p.202-207 |
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| container_title | Turkish neurosurgery |
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| creator | Mei-Hua, Li Geng-Sheng, Xu Zhi-Qun, Jiang Yi-Yun, Li Tao, Hong |
| description | To clarify the usefulness of supracondylar transjugular tubercle approach for treatment intradural lesions anterior and anterolateral to foramen magnum, in which the posterior portion of the jugular tubercle is removed extradurally through the condylar fossa with the atlanto-occipital joint intact.
The supracondylar transjugular tubercle approach was applied to 28 craniocervical junction surgeries. These surgeries included clipping a vertebral artery aneurysm in 12 cases and removing intradural tumors ventral and ventrolateral to foramen magnum in 16 cases.
The approach offered very good visualization of the anterior and anterolateral part of the craniocervical junction region and sufficient working space. These surgeries were performed safely without major complications. In all 12 cases, the aneurysm was easily clipped without any problems. In 16 cases of tumors, 14 tumors were totally removed, the remaining 2 cases achieved subtotal resection due to medullary invasion of tumors.
Supracondylar transjugular tubercle approach offered very good visualization of the anterior and anterolateral part of the craniocervical junction region and can be an ideal approach for accessing intradural lesions anterior and anterolateral part of the craniocervical junction region. |
| doi_str_mv | 10.5137/1019-5149.JTN.6744-12.1 |
| format | Article |
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The supracondylar transjugular tubercle approach was applied to 28 craniocervical junction surgeries. These surgeries included clipping a vertebral artery aneurysm in 12 cases and removing intradural tumors ventral and ventrolateral to foramen magnum in 16 cases.
The approach offered very good visualization of the anterior and anterolateral part of the craniocervical junction region and sufficient working space. These surgeries were performed safely without major complications. In all 12 cases, the aneurysm was easily clipped without any problems. In 16 cases of tumors, 14 tumors were totally removed, the remaining 2 cases achieved subtotal resection due to medullary invasion of tumors.
Supracondylar transjugular tubercle approach offered very good visualization of the anterior and anterolateral part of the craniocervical junction region and can be an ideal approach for accessing intradural lesions anterior and anterolateral part of the craniocervical junction region.</description><identifier>ISSN: 1019-5149</identifier><identifier>DOI: 10.5137/1019-5149.JTN.6744-12.1</identifier><identifier>PMID: 23546906</identifier><language>eng</language><publisher>Turkey</publisher><subject>Adolescent ; Adult ; Aged ; Atlanto-Occipital Joint - surgery ; Cerebellar Neoplasms - surgery ; Cervical Vertebrae - surgery ; Female ; Foramen Magnum - surgery ; Humans ; Intracranial Aneurysm - surgery ; Male ; Meningioma - surgery ; Middle Aged ; Occipital Bone - surgery ; Orthopedic Procedures - methods ; Skull - surgery ; Skull Base Neoplasms - surgery ; Spinal Neoplasms - surgery ; Treatment Outcome ; Young Adult</subject><ispartof>Turkish neurosurgery, 2013, Vol.23 (2), p.202-207</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c313t-8636264665d42d53e06426d25c40694002423019589ee66a910f2808c33808d73</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23546906$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mei-Hua, Li</creatorcontrib><creatorcontrib>Geng-Sheng, Xu</creatorcontrib><creatorcontrib>Zhi-Qun, Jiang</creatorcontrib><creatorcontrib>Yi-Yun, Li</creatorcontrib><creatorcontrib>Tao, Hong</creatorcontrib><title>Supracondylar transjugular tubercle approach to intradural lesions anterior or anterolateral to the craniocervical junction without resection of the occipital condyle</title><title>Turkish neurosurgery</title><addtitle>Turk Neurosurg</addtitle><description>To clarify the usefulness of supracondylar transjugular tubercle approach for treatment intradural lesions anterior and anterolateral to foramen magnum, in which the posterior portion of the jugular tubercle is removed extradurally through the condylar fossa with the atlanto-occipital joint intact.
The supracondylar transjugular tubercle approach was applied to 28 craniocervical junction surgeries. These surgeries included clipping a vertebral artery aneurysm in 12 cases and removing intradural tumors ventral and ventrolateral to foramen magnum in 16 cases.
The approach offered very good visualization of the anterior and anterolateral part of the craniocervical junction region and sufficient working space. These surgeries were performed safely without major complications. In all 12 cases, the aneurysm was easily clipped without any problems. In 16 cases of tumors, 14 tumors were totally removed, the remaining 2 cases achieved subtotal resection due to medullary invasion of tumors.
Supracondylar transjugular tubercle approach offered very good visualization of the anterior and anterolateral part of the craniocervical junction region and can be an ideal approach for accessing intradural lesions anterior and anterolateral part of the craniocervical junction region.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Atlanto-Occipital Joint - surgery</subject><subject>Cerebellar Neoplasms - surgery</subject><subject>Cervical Vertebrae - surgery</subject><subject>Female</subject><subject>Foramen Magnum - surgery</subject><subject>Humans</subject><subject>Intracranial Aneurysm - surgery</subject><subject>Male</subject><subject>Meningioma - surgery</subject><subject>Middle Aged</subject><subject>Occipital Bone - surgery</subject><subject>Orthopedic Procedures - methods</subject><subject>Skull - surgery</subject><subject>Skull Base Neoplasms - surgery</subject><subject>Spinal Neoplasms - surgery</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1019-5149</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9UclOwzAU9AHEUvgF8JFLirc4yREhVlVwoJwt47xSV2kcvID6Q3wn7kIl69l-nhnbMwhdUjIuKa-uKaFNUVLRjJ-nL2NZCVFQNqYH6GR_coxOQ1gQIiWj9AgdM14K2RB5gn7f0uC1cX276rTH0es-LNJn2mzSB3jTAdbD4J02cxwdtn3GtMnrDncQrOsD1n0Eb53HeWzWrtO5ZkTGxzlgk1WtM-C_rcndRepNzEz8Y-PcpYg9BNh23GxDcMbYwcaM3b4MztDhTHcBznfzCL3f301vH4vJ68PT7c2kMJzyWNSSSyaFlGUrWFtyIFIw2bLSCCIbQQgTjGdTyroBkFI3lMxYTWrDea5txUfoaqubP_yVIES1tMFA1-keXAqKcsZZ1TSkztBqCzXeheBhpgZvl9qvFCVqHYxa26_W9qscjFoHoyjLEiN0sbskfSyh3fP-U-F_fQyPjg</recordid><startdate>2013</startdate><enddate>2013</enddate><creator>Mei-Hua, Li</creator><creator>Geng-Sheng, Xu</creator><creator>Zhi-Qun, Jiang</creator><creator>Yi-Yun, Li</creator><creator>Tao, Hong</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2013</creationdate><title>Supracondylar transjugular tubercle approach to intradural lesions anterior or anterolateral to the craniocervical junction without resection of the occipital condyle</title><author>Mei-Hua, Li ; Geng-Sheng, Xu ; Zhi-Qun, Jiang ; Yi-Yun, Li ; Tao, Hong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c313t-8636264665d42d53e06426d25c40694002423019589ee66a910f2808c33808d73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Atlanto-Occipital Joint - surgery</topic><topic>Cerebellar Neoplasms - surgery</topic><topic>Cervical Vertebrae - surgery</topic><topic>Female</topic><topic>Foramen Magnum - surgery</topic><topic>Humans</topic><topic>Intracranial Aneurysm - surgery</topic><topic>Male</topic><topic>Meningioma - surgery</topic><topic>Middle Aged</topic><topic>Occipital Bone - surgery</topic><topic>Orthopedic Procedures - methods</topic><topic>Skull - surgery</topic><topic>Skull Base Neoplasms - surgery</topic><topic>Spinal Neoplasms - surgery</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mei-Hua, Li</creatorcontrib><creatorcontrib>Geng-Sheng, Xu</creatorcontrib><creatorcontrib>Zhi-Qun, Jiang</creatorcontrib><creatorcontrib>Yi-Yun, Li</creatorcontrib><creatorcontrib>Tao, Hong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Turkish neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mei-Hua, Li</au><au>Geng-Sheng, Xu</au><au>Zhi-Qun, Jiang</au><au>Yi-Yun, Li</au><au>Tao, Hong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Supracondylar transjugular tubercle approach to intradural lesions anterior or anterolateral to the craniocervical junction without resection of the occipital condyle</atitle><jtitle>Turkish neurosurgery</jtitle><addtitle>Turk Neurosurg</addtitle><date>2013</date><risdate>2013</risdate><volume>23</volume><issue>2</issue><spage>202</spage><epage>207</epage><pages>202-207</pages><issn>1019-5149</issn><abstract>To clarify the usefulness of supracondylar transjugular tubercle approach for treatment intradural lesions anterior and anterolateral to foramen magnum, in which the posterior portion of the jugular tubercle is removed extradurally through the condylar fossa with the atlanto-occipital joint intact.
The supracondylar transjugular tubercle approach was applied to 28 craniocervical junction surgeries. These surgeries included clipping a vertebral artery aneurysm in 12 cases and removing intradural tumors ventral and ventrolateral to foramen magnum in 16 cases.
The approach offered very good visualization of the anterior and anterolateral part of the craniocervical junction region and sufficient working space. These surgeries were performed safely without major complications. In all 12 cases, the aneurysm was easily clipped without any problems. In 16 cases of tumors, 14 tumors were totally removed, the remaining 2 cases achieved subtotal resection due to medullary invasion of tumors.
Supracondylar transjugular tubercle approach offered very good visualization of the anterior and anterolateral part of the craniocervical junction region and can be an ideal approach for accessing intradural lesions anterior and anterolateral part of the craniocervical junction region.</abstract><cop>Turkey</cop><pmid>23546906</pmid><doi>10.5137/1019-5149.JTN.6744-12.1</doi><tpages>6</tpages></addata></record> |
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| ispartof | Turkish neurosurgery, 2013, Vol.23 (2), p.202-207 |
| issn | 1019-5149 |
| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Adolescent Adult Aged Atlanto-Occipital Joint - surgery Cerebellar Neoplasms - surgery Cervical Vertebrae - surgery Female Foramen Magnum - surgery Humans Intracranial Aneurysm - surgery Male Meningioma - surgery Middle Aged Occipital Bone - surgery Orthopedic Procedures - methods Skull - surgery Skull Base Neoplasms - surgery Spinal Neoplasms - surgery Treatment Outcome Young Adult |
| title | Supracondylar transjugular tubercle approach to intradural lesions anterior or anterolateral to the craniocervical junction without resection of the occipital condyle |
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