How to do operation of cerebral vascular malformation

Update Date: 2022-12-20 Source: Network

summary

Just went to university, the first time I left home, I felt that I often felt headache and epilepsy, which really did not happen before. A person is also very afraid, roommate accompanied me to do the examination, the result said that my cerebrovascular malformation. Now let's talk about how to do cerebrovascular malformation surgery.

How to do operation of cerebral vascular malformation

First, body position and incision (for example, frontal parietal lobe lesions are common in the cerebral hemisphere). The patient lies on his side and makes a large horseshoe shaped incision in the frontal parietal lobe. The anterior central gyrus should be exposed, and the whole lesion should be included in the surgical field of vision. The midline of the incision is on the sagittal line, so as to expose the longitudinal fissure of the cerebral hemisphere.

Second: craniotomy: according to the scalp skull flap craniotomy routine treatment, but pay attention to the following points: scalp, skull bleeding is often more, sometimes like meningioma, so the scalp should be segmented incision, serious hemostasis; scalp and bone flap can be opened separately. If the thick blood vessels of the anterior central gyrus obviously adhere to the dura mater, do not force to open it, you can leave a small piece of dura mater and other steps.

The third is to identify the central gyrus and feeding artery. It is not accurate to determine the motor area only by anatomical position, so it can be identified by electric stimulator. The diameter of the main feeding artery is thicker than that of the normal artery, the wall of the blood vessel is slightly thicker than that of the abnormal artery, and the blood in the blood vessel is mainly arterial blood, which can be determined according to the above conditions.

matters needing attention

The doctor suggested that I should have surgery. I learned something about how to do the surgery for cerebrovascular malformation, so I also had a certain understanding. In addition, if patients have epilepsy, they need long-term treatment.