翼点微型开颅术和侧裂入路后，脑岛内海绵状血管畸形切除术

　　翼点微型开颅术和侧裂入路后，脑岛内海绵状血管畸形切除术(Insular cavernous malformation resection through a minipterional, transsylvian approach)

　　Cavernous malformations of the brain are low-flow vascular lesions that have a propensity to hemorrhage. Extensive surgical approaches are often required for operative cure of deep-seated lesions. A 23-year-old female presented with a cavernous malformation of the left posterior insula with surrounding hematoma measuring up to 3 cm. A minimally invasive (mini-)pterional craniotomy with a transsylvian approach was selected. Endoscopic assistance was utilized to confirm complete resection of the lesion. The minipterional craniotomy is a minimally invasive approach that provides optimal exposure for sylvian fissure dissection and resection of many temporal and insular lesions.

　　The video can be found here: <https://youtu.be/9z6_EhU6lxs>.

　　海绵状血管畸形是具有出血倾向的脑内低流量血管畸形。深部病变的切除术经常需要宽大的手术入路。病人：女，23岁，左后脑岛海绵状血管畸形伴长到三公分的周围血肿。选择行微创翼点（微型）开颅术和经侧裂入路。使用内窥镜确定病变完全切除。翼点微型开颅术是一个微创的手术方式，分割侧裂或切除许多颞叶和脑岛的病变时，它会提供更佳的暴露。

　　看视频，请点击：<https://youtu.be/9z6_EhU6lxs>.

　　本文来源：https://thejns.org/video/view/journals/neurosurg-focus-video/1/1/article-pV26.xml?rskey=hY7Ayc