Neurosurgery via suboccipital far-lateral approach for the ventral and ventrolateral tumors in craniocervical junctions
GAO Bao-cheng
ZHANG Yong-fa
TAI Bai
ZHOU Shuai
ZHAO Jian-hua
OUYANG Jin-song
Abstract：Objective To discuss the application of the suboccipital far-lateral approach to neurosurgery for the ventral and ventrolateral tumors in the craniocervical junctions.Methods The clinical data of 17 patients with ventral and ventrolateral tumors in the craniocervical junctions who underwent neurosurgery via suboccipital far-lateral approach from December,2012 to December,2017 were analyzed retrospectively.Results Of the 17 patients,14 received total removal of the tumors and 3 including 2 with chordomas and 1 with estrogenic tumor received subtotal removal of the tumors.Of 10 patients including 7 patients with postoperative cranial nerve dysfunction and 3 patients with postoperative new cranial nerve dysfunction,8 were recovered from cranial nerve dysfunction 6 months after the operation and 2 had permanent cranial nerve dysfunction.Three patients with postoperative cerebrospinal fluid leakage and 2 with intracranical infection were cured by active corresponding treatment.There were no intracranial hematoma,hydrocephalus and death after the operation in all the patients.Conclusion The neurosurgery via the suboccipital far-lateral approach is a safe and effective method to remove the ventral and ventrolateral tumors in the craniocervical junctions.Individualized surgical procedures should be adopted according to the characteristics of each patient with the craniocervical junction tumor.
Keywords：Imtracranial tumorNeurosurgerySuboccipital far-lateral approachCraniocervical junction
Publication Date：2019-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 193-196 )