神外世界朗读者哈那提朗读丨第42期
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中国人民解放军第三〇九医院神经外科
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哈那提朗读(一)Lawton教授经典巨著SevenAVMs系列双语版---颞叶内侧面型AVM手术解剖及切除策略
TheMedialTemporalAVM颞叶内侧面型AVM
ThemedialtemporalAVMresidesintheblockoftissuemedialtothetemporalhornintheuncus,parahippocampalgyrus,and/orhippocampus(Fig.12.7).Thiscorticalsurfaceistheinsideedgeofthetemporallobe.AdeeptranssylviandissectionthatfollowstheAChA,mobilizesthetemporallobeawayfromthefrontallobe,opensthecruralandambientcisterns,andtracesthetentorialincisuraaroundthemidbrainaffordstheonlysurgicalviewofthisregion,anditislimitedatbest.InaccessibilitymakesmedialtemporalAVMschallenging.TranssylviandissectionleadstofeedersfromtheAChAandtheP2PCArunningalongthemedialandinferioraspectofthenidus,respectively.ThecisternalsegmentoftheAChAisalwaysatransitarterythatcontinuestosupplytheoptictractandinternalcapsule.HippoAandPos-TempAsupplytheseAVMs,withtheparentP2PCAalsocontinuingtosupplytheoccipitallobewhiletransmittingnormalbrancheslikethepeduncular(PedP),circumflex(CirP),andthalamogeniculateperforators(ThGenP).Thearterialsupplymayalso
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