Dördüncü ventriküle güncel yaklaşım teknikleri

Dördüncü ventrikül tabanı, serebellar pedünkül ve lateral reses yerleşimli patolojilere üç ayrı cerrahi yaklaşım ile ulaşmak mümkündür. Bu yaklaşımlar; inferior vermis insizyonu ile 4. ventriküle ulaşan transvermian yaklaşım, uvula ve tonsil arasından 4. ventrikül tavanı açılarak taban, lateral reses ve foramen lushckaya ulaşan telovelar yaklaşım ve serebellar tonsil pedünkülü, takip edilerek inferior ve kısmen orta serebellar pedünküllere ulaşan supratonsiller yaklaşımlardır. Bu makalede beyin cerrahisinde 4. ventriküle güncel yaklaşım teknikleri irdelenmiştir. Klin Deney Ar Derg 2011; 2 (3): 335-338.

Current approach techniques to fourth ventricle

To approach the pathologies of base of fourth ventricle, cerebellar peduncle and lateral recess, it is possible to use three different surgical approach techniques. These are transvermian approach to fourth ventricle via incision of inferior vermis, telovelar approach that reaches the base, lateral recess and foramina of Luschka via incising the roof of the fourth ventricle between the uvula and tonsil and supra tonsillar approach that reaches the inferior and partially the middle cerebellar peduncle by following the cerebellar tonsil peduncle. In this article, actual techniques for approaching to fourth ventricule was reviewed. J Clin Exp Invest 2011; 2 (3): 335-338.

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