FIELD: medicine, neurosurgery.
SUBSTANCE: trepanation of posterior cranial fossa should be performed in the volume of: the bottom of mastoid processes, the edge of occipital foramen and inferior edge of cross-sectional sinus, then one should lance large cistern to resect external third of cerebellar hemisphere. Access to the tumor should be performed through median cerebellar pedicle along fibers coming towards vestibular nuclei. Moreover, wound tract should be placed to the front against nuclei of rhomboid fossa bottom and backwards against the fibers of pyramid tract. The innovation provides carrying out surgical manipulations beyond functionally valuable areas of brain stem.
EFFECT: decreased traumatism of operation and decreased number of post-operational complications.
1 ex
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Authors
Dates
2005-11-20—Published
2003-07-21—Filed