桥小脑角相关解剖PART-1

Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,桥小脑角相关解剖Cerebellopontine Angle Related AnatomyPart,CASE BY CASE:,C:conception,A:anatomy,S:skill,E:emergency,TO BE A SURGEON,桥小脑角CPA,含有脑脊液的楔形区域,外侧：颞骨岩部后面,内侧：脑干桥脑、延髓,后上：小脑,下方：神经血管及蛛网膜结构,定位：后颅窝,最深、最大、最复杂,相关:颞骨、枕骨,脑干、小脑,椎基底动脉系统,V-XII对颅神经,枕骨occipital bone,颞骨temporal bone,枕下肌肉 suboccipital muscles,小脑,&,枕骨,&,后颅窝,小脑幕tentorium of cerebellum：,硬脑膜，呈帐篷状架于颅后窝上方,分隔端脑与小脑的结缔组织,后外侧部：枕骨横窦沟和颞骨岩部上缘,前内侧缘：游离形成切迹,切迹与鞍背之间形成小脑幕裂孔,(,中脑通过,),椎,基底动脉系统,发自锁骨下动脉的双侧椎动脉于桥延沟集合形成基底动脉，在桥小脑角区分出三对小脑动脉，分别于不同颅神经伴行，形成血管神经束：,小脑上动脉the superior cerebellar artery，SCA,小脑前下动脉(the anterior inferior cerebellar artery,AICA),小脑后下动脉(the posterior inferior cerebellar artery,PICA),动脉,静脉,脑干Brainstem,延髓medulla,脑桥pons,中脑midbrain,Ventricular cavity,Roof,Tegmentum,Base,第四脑室(fourth ventricle),脑干和小脑之间的帐篷样腔隙,前上：通大脑导水管,尾端：小脑延髓池,两侧：桥小脑池Luschka孔,脑干内侧列：运动核,脑干外侧列：感觉核,Medial Columns(motor nuclei),one somatic,two visceral,最内侧列Column 1,动眼神经核上丘,滑车神经核下丘,外展神经核脑桥,舌下神经核延髓,Column 2：C1 腹外侧,一般内脏运动,三叉神经运动核脑桥,面神经运动核脑桥,疑核延髓,脊副神经核延髓+脊髓,Column 3：C1 外侧,副交感神经节前纤维,平滑肌和腺体,动眼神经副核上丘,上泌涎核延髓,下泌涎核延髓,迷走神经背核延髓,脑干内侧列：运动核,脑干外侧列：感觉核,Lateral Columns(sensory nuclei),三叉神经感觉核,前庭耳蜗核,孤束核,上：,小脑上动脉,中脑,小脑上脚,小脑幕面,颅神经,中：,小脑前下动脉,脑桥,小脑中脚、绒球,小脑岩面,颅神经,下：,小脑后下动脉,延髓,小脑下脚、小脑扁桃体延髓沟,小脑枕下面,颅神经,手术入路surgical approaches,手术入路surgical approaches,degree of posterior fossa exposure,内镜解剖endoscopic anatomy,内镜解剖endoscopic anatomy,内镜解剖endoscopic anatomy,内镜解剖endoscopic anatomy,内镜解剖endoscopic anatomy,内镜解剖endoscopic anatomy,内镜解剖endoscopic anatomy,术中监测IM,facial paresis,CSF leakage,bacterial meningitis,trigeminal,paresthesias,abducens nerve palsies,lower cranial nerve palsies,t,umor recurrence,并发症Complications,参考书籍,1.Alberstone,Cary D.,Benzel,Michael P.,Anatomic Basis of Neurologic Diagnosis,2.Nicholas C.Bambakidis etc,Surgery of the Cerebellopontine Angle,3.,Madjid Samii,Venelin Gerganov,Surgery of Cerebellopontine Lesions,acques Magnan,etc,.Functional Surgery of Cerebellopontine Angle by Minimally Invasive Retrosigmoid Approach,Thanks,！,