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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Presentamos cuatro casos de aneurismas de la arteria vertebral-PICA&#44; intervenidos en nuestro Servicio mediante un abordaje lateral extremo transcondilar&#46; Nuestros pacientes&#44; tres hombres y una mujer&#44; ten&#237;an edades comprendidas entre 28 y 64 a&#241;os&#46; La hemorragia subaracnoidea fue la manifestaci&#243;n cl&#237;nica inicial en tres de los casos y los s&#237;ntomas y signos de compresi&#243;n de estructuras adyacentes lo fueron en el restante&#46; En nuestra serie no hubo mortalidad quir&#250;rgica&#46; Tan s&#243;lo un paciente&#44; portador de un aneurisma gigante de la AV-PICA&#44; present&#243; morbilidad por lesi&#243;n permanente de pares craneales bajos&#46; El abordaje lateral extremo transcondilar est&#225; indicado en el tratamiento quir&#250;rgico de lesiones que asientan en la cara anterior del agujero magno y &#225;rea del clivus bajo&#46; Esta t&#233;cnica permite el abordaje quir&#250;rgico a los aneurismas de la AV-PICA&#44; con una excelente exposici&#243;n y m&#237;nima retracci&#243;n de las estructuras nerviosas&#44; frente al tradicional abordaje mediante craniectom&#237;a suboccipital unilateral&#46;</p>"
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Vol. 8. Núm. 3.
Páginas 221-229 (enero 1997)
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Vol. 8. Núm. 3.
Páginas 221-229 (enero 1997)
Abordaje lateral extremo transcondilar en el tratamiento quirúrgico de los aneurismas de la arteria vertebral - pica
Extreme lateral transcondylar approach for surgical treatment of vertebral-pica aneurysms
Visitas
2273
P. Riesgo, G. Bataller, J. Piquer, F. Cortés, A. Beltrán, J. Cabanes
Servicios de Neurocirugía, Hospital Universitario «La Fé», Valencia
H. Pérez-Garrigues*, R. Villanueva*
* Servicios de ORL, Hospital Universitario «La Fé», Valencia
V. VázquezAñón**
** Servicios de Radiodiagnóstico. Hospital Universitario «La Fé», Valencia
Este artículo ha recibido
Información del artículo
Resumen

Presentamos cuatro casos de aneurismas de la arteria vertebral-PICA, intervenidos en nuestro Servicio mediante un abordaje lateral extremo transcondilar. Nuestros pacientes, tres hombres y una mujer, tenían edades comprendidas entre 28 y 64 años. La hemorragia subaracnoidea fue la manifestación clínica inicial en tres de los casos y los síntomas y signos de compresión de estructuras adyacentes lo fueron en el restante. En nuestra serie no hubo mortalidad quirúrgica. Tan sólo un paciente, portador de un aneurisma gigante de la AV-PICA, presentó morbilidad por lesión permanente de pares craneales bajos. El abordaje lateral extremo transcondilar está indicado en el tratamiento quirúrgico de lesiones que asientan en la cara anterior del agujero magno y área del clivus bajo. Esta técnica permite el abordaje quirúrgico a los aneurismas de la AV-PICA, con una excelente exposición y mínima retracción de las estructuras nerviosas, frente al tradicional abordaje mediante craniectomía suboccipital unilateral.

Palabras Clave:
Aneurisma
Arteria vertebral
Arteria cerebelosa póstero-inferior
Abordaje transcondilar
Summary

Four cases of vertebral artery-PICA (VA-PICA) aneurysms, operated in our department through an extreme lateral transcondylar approach, are presented. Our patients, three men and one woman, were aged 28 to 64 years at presentation. Three of the cases presented with a subarachnoid haemorrage. Signs of brain stem compression were observed in one patient. There was no sugical related mortality in this series. Only one patient with a giant VA-PICA aneurysm suffered surgical morbidity from definitive lesion of lower cranial nerves. The extreme lateral transcondylar approach is indicated in the surgical treatment of lesions located in the lower clivus and anterior aspect of the foramen magnum. This technique allows an excellent exposure of VA-PICA aneurysms and reduces the retraction of nervous structures in comparison to the conventional suboccipital approach.

Key Words:
Aneurysm
Vertebral artery
Posterior inferior cerebellar artery
Transcondylar approach

Artículo

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