| Item type |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2017-12-05 |
| タイトル |
|
|
タイトル |
Preoperative Evaluation of the Interface Between Tuberculum Sellae Meningioma and the Optic Nerves on Fast Imaging with Steady-State Acquisition for Extended Endoscopic Endonasal Transsphenoidal Surgery |
| 言語 |
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|
言語 |
eng |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| ID登録 |
|
|
ID登録 |
10.24517/00014267 |
|
ID登録タイプ |
JaLC |
| 著者 |
Hayashi, Yasuhiko
Kita, Daisuke
Fukui, Issei
Sasagawa, Yasuo
Oishi, Masahiro
Tachibana, Osamu
Ueda, Fumiaki
Nakada, Mitsutoshi
|
| 著者別表示 |
林, 康彦
喜多, 大輔
笹川, 泰生
植田, 文明
中田, 光俊
|
| 書誌情報 |
World Neurosurgery
巻 103,
p. 153-160,
発行日 2017-07-01
|
| ISSN |
|
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収録物識別子タイプ |
ISSN |
|
収録物識別子 |
1878-8750 |
| NCID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA12469471 |
| DOI |
|
|
関連タイプ |
isVersionOf |
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識別子タイプ |
DOI |
|
|
関連識別子 |
10.1016/j.wneu.2017.03.141 |
| 出版者 |
|
|
出版者 |
Elsevier |
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Introduction Endoscopic endonasal transsphenoidal surgery (EETS) is increasingly applied to treat tuberculum sellae meningiomas. However, if the tumor adheres firmly to the optic nerve, dissection of the interface between both structures should be prudent to preserve visual function. The purpose of this study was to investigate whether tumor adhesion to the optic nerve can be predicted preoperatively by fast imaging with steady-state acquisition (FIESTA). Methods Twenty-two patients with tuberculum sellae meningioma treated with EETS were retrospectively identified. Clinical characteristics, radiologic studies, intraoperative findings, and outcomes were reviewed from their clinical charts. Results Patients' symptoms included visual function impairment in 18 patients and headaches in 4 patients. Symptoms were resolved in 19 patients after operation. Preoperative radiologic evaluation was performed in 44 sides (22 patients) of the interface between tumors and the optic nerves and showed absence of peritumoral hyperintensity on FIESTA in 7 sides in 7 patients. In 5 of the 7 sides, tumor dissection was complicated by firm adhesion to the optic nerves. Among these cases, visual functions were unchanged in 1 patient after complete removal of the adhesion but substantially improved in 3 patients after partial resection. In the remaining 37 sides with preoperative peritumoral hyperintensity, no adhesion was found between both structures intraoperatively. Conclusions Absence of peritumoral hyperintensity between tuberculum sellae meningioma and the optic nerve on FIESTA may indicate firm adhesion at the interface, severely complicating complete removal. Preoperative recognition of this adhesion is important for safe tumor removal and preservation of visual functions. © 2017 Elsevier Inc. |
| 内容記述 |
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|
内容記述タイプ |
Other |
|
内容記述 |
Embargo Period 12 months |
| 権利 |
|
|
権利情報 |
Copyright © Elsevier (CC-BY NC ND) |
| 著者版フラグ |
|
|
出版タイプ |
AM |
|
出版タイプResource |
http://purl.org/coar/version/c_ab4af688f83e57aa |
| 関連URI |
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|
識別子タイプ |
URI |
|
|
関連識別子 |
http://www.elsevier.com/locate/issn/18788750 |
ME-PR-HAYASHI-Y-153.pdf (475.6 kB)
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