전척추동맥의 동맥류에 대한 수술적 치료

• 영문명: Surgical treatment for anterior spinal artery aneurysm
• 발행기관: 대한두개저학회
• 저자명: 김정재(Jung Jae Kim) 조동영(Dong Young Cho) 서의교(Eui Kyo Seo)
• 간행물 정보: 『대한두개저학회지』제14권 제2호, 5~9쪽, 전체 5쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2019.10.30

영문 초록

Aneurysms arising from anterior spinal arteries are very rare. Rupture of an anterior spinal aneurysm is a rare cause of subarachnoid hemorrhage accounting for less than 1% of all cases reported in the literature. The management options include a surgical approach, endovascular embolization, or conservative treatment. Endovascular treatment with embolization using coils or liquid embolic agents is very difficult to reach to the aneurysm and to preserve parent artery. So the surgical approach is usually employed in origin of anterior spinal artery aneurysm. Far lateral approach is useful method to approach to the origin of anterior spinal artery and manage the aneurysm.

목차

INTRODUCTION

SURGICAL POSITION

SKIN INCISION

MUSCLE SPLITTING

DEEP MUSCLES, SUBOCCIPITAL TRIANGLE, AND VERTEBRAL ARTERY

SUBOCCIPITAL CRANIECTOMY

DUROTOMY

INTRADURAL SURGICAL PROCEDURE

CONCLUSION

키워드

Anterior spinal artery Far lateral approach Saccular aneurysm Subarachnoid hemorrhage