{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390282679384643200.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.7887/jcns.19.733"}},{"identifier":{"@type":"URI","@value":"https://www.jstage.jst.go.jp/article/jcns/19/10/19_KJ00006629041/_pdf"}},{"identifier":{"@type":"NAID","@value":"110007730742"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2011007572"}}],"dc:title":[{"@language":"ja","@value":"Anterior temporal approachとExtra-dural temporopolar approach : 脳底動脈先端部動脈瘤および後方向き内頚動脈瘤に対して(<特集>手術アプローチの選択とピットフォールI-第24回微小脳神経外科解剖セミナーより-)"},{"@language":"en","@value":"Anterior Temporal Approach and Extra-Dural Temporopolar Approach for the Surgery of Basilar Bifurcation and Posterior Projecting Carotid Aneurysm(<SPECIAL ISSUE>Selection of Surgical Approach and Pitfall I)"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"Basilar bifurcation aneurysms are generally treated via a transsylvian or subtemporal approach. The transsylvian approach has the disadvantage of inaccessibility to the posterior aspect of the aneurysm, while the subtemporal approach poses the risk of venous damage due to compression of the temporal lobe. Therefore, we attempted an anterior temporal approach, which provides a wider surgical field through safe retraction of the temporal lobe. The anterior temporal approach is a modified distal transsylvian approach that enables posterior retraction of the temporal lobe with minimum force by dissection of the superficial sylvian vein and anterior temporal artery from the temporal lobe. In cases in which it is impossible to dissect the superficial sylvian vein, the anterior temporal approach was switched to an extra-dural temporopolar approach. We describe herein the technical points and problems of the anterior temporal and extra-dural temporopolar approaches for basilar bifurcation aneurysms."},{"@language":"ja","@value":"脳底動脈先端部動脈瘤と後方向き内頚動脈瘤に対するanterior temporal approachとextra-dural temporopolar approachの手術解剖について概説した.anterior temporal approachはdistalのsylvian fissureからuncusの周囲まで剥離し,側頭葉を後方にretractすることにより内頚動脈の背側に広い空間を確保することができる.その広い空間から脳底動脈先端部周囲の解剖をも確認しうる.しかしsuperficial sylvian veinの還流形態によっては術中にextra-dural tempolopolar approachへの変更により,十分な空間の確保が可能である.extra-dural temporopolar approachを行う際には,meningo-orbital band,前床突起,硬膜輪,海綿静脈洞の手術解剖を理解する必要がある."}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410282679384643206","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000016854947"}],"foaf:name":[{"@language":"ja","@value":"勝野 亮"},{"@language":"en","@value":"Katsuno Makoto"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Far East Neurosugical Institute Abashiri Neurological Hospital"},{"@language":"ja","@value":"網走脳神経外科・リハビリテーション病院"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679384643205","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"谷川 緑野"},{"@language":"en","@value":"Tanikawa Rokuya"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Far East Neurosugical Institute Abashiri Neurological Hospital"},{"@language":"ja","@value":"網走脳神経外科・リハビリテーション病院"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679384643203","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000017340369"}],"foaf:name":[{"@language":"ja","@value":"太田 仲郎"},{"@language":"en","@value":"Ota Nakao"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Far East Neurosugical Institute Abashiri Neurological Hospital"},{"@language":"ja","@value":"網走脳神経外科・リハビリテーション病院"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679384643201","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000016854948"}],"foaf:name":[{"@language":"ja","@value":"吉田 浩貴"},{"@language":"en","@value":"Yoshida Hirotaka"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Far East Neurosugical Institute Abashiri Neurological Hospital"},{"@language":"ja","@value":"網走脳神経外科・リハビリテーション病院"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679384643202","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"前田 高宏"},{"@language":"en","@value":"Maeda Takahiro"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Far East Neurosugical Institute Abashiri Neurological Hospital"},{"@language":"ja","@value":"網走脳神経外科・リハビリテーション病院"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679384643204","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"泉 直人"},{"@language":"en","@value":"Izumi Naoto"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Far East Neurosugical Institute Abashiri Neurological Hospital"},{"@language":"ja","@value":"網走脳神経外科・リハビリテーション病院"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679384643200","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"橋本 政明"},{"@language":"en","@value":"Hashimoto Masaaki"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Far East Neurosugical Institute Abashiri Neurological Hospital"},{"@language":"ja","@value":"網走脳神経外科・リハビリテーション病院"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"0917950X"},{"@type":"LISSN","@value":"0917950X"},{"@type":"EISSN","@value":"21873100"},{"@type":"NCID","@value":"AN10380506"}],"prism:publicationName":[{"@language":"en","@value":"Japanese Journal of Neurosurgery"},{"@value":"脳神経外科ジャーナル"},{"@language":"en","@value":"Jpn J Neurosurg"},{"@value":"脳外誌"}],"dc:publisher":[{"@language":"en","@value":"The Japanese Congress of Neurological Surgeons"},{"@language":"ja","@value":"一般社団法人日本脳神経外科コングレス"}],"prism:publicationDate":"2010","prism:volume":"19","prism:number":"10","prism:startingPage":"733","prism:endingPage":"741"},"reviewed":"false","url":[{"@id":"https://www.jstage.jst.go.jp/article/jcns/19/10/19_KJ00006629041/_pdf"},{"@id":"https://search.jamas.or.jp/link/ui/2011007572"}],"availableAt":"2010","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=anterior%20temporal%20approach","dc:title":"anterior temporal approach"},{"@id":"https://cir.nii.ac.jp/all?q=extra-dural%20temporopolar%20approach","dc:title":"extra-dural temporopolar approach"},{"@id":"https://cir.nii.ac.jp/all?q=basilar%20bifurcation%20aneurysm","dc:title":"basilar bifurcation aneurysm"},{"@id":"https://cir.nii.ac.jp/all?q=internal%20carotid%20aneurysm","dc:title":"internal carotid aneurysm"},{"@id":"https://cir.nii.ac.jp/all?q=anatomy","dc:title":"anatomy"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1361137046410468992","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Extradural temporopolar approach to lesions of the upper basilar artery and infrachiasmatic region"}]},{"@id":"https://cir.nii.ac.jp/crid/1362544419134864000","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Temporo-polar Approach to Aneurysms of the Basilar Artery at and Around the Distal Bifurcation: Technical Note"}]},{"@id":"https://cir.nii.ac.jp/crid/1362544421269231360","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"The Treatment of Aneurysms of the Posterior Circulation"}]},{"@id":"https://cir.nii.ac.jp/crid/1390001204672462080","@type":"Article","relationType":["references","cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Surgery of Internal Carotid Aneurysms in Distal Transsylvian Approach: Differences and Advantages of Distal Transsylvian Approach"},{"@language":"ja","@value":"内頚動脈りゅう手術におけるＤｉｓｔａｌ　Ｔｒａｎｓｓｙｌｖｉａｎ　Ａｐｐｒｏａｃｈのアドバンテージと技術的ポイント－いわゆるＰｔｅｒｉｏｎａｌ　Ａｐｐｒｏａｃｈとの違い－"}]},{"@id":"https://cir.nii.ac.jp/crid/1390001204673461888","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Anterior Temporal Approach for the Treatment of the Posterior Wall Aneurysm of the Internal Carotid Artery."},{"@language":"ja","@value":"内頚動脈後向きの動脈りゅうに対するｔｒａｎｓｓｙｌｖｉａｎ　ａｐｐｒｏａｃｈの変法としてのａｎｔｅｒｉｏｒ　ｔｅｍｐｏｒａｌ　ａｐｐｒｏａｃｈ"}]},{"@id":"https://cir.nii.ac.jp/crid/1570291226260777472","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Temporo-polar approach to aneurysms of the basilar artery at and around distal bifurcation : Technical note"}]},{"@id":"https://cir.nii.ac.jp/crid/1571135649372621440","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"ja","@value":"Distal transsylvian approach の変法としてのAnterior temporal approach-脳底動脈先端部動脈瘤に対して-"},{"@language":"en","@value":"Anterior Temporal Approach for Basilar Bifurcation Aneurysms as a Modified Distal Transsylvian Approach"}]},{"@id":"https://cir.nii.ac.jp/crid/1571135651190914944","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Preoperative angiographic examination of the sylvian drinage system"}]},{"@id":"https://cir.nii.ac.jp/crid/1571135652446257152","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"ja","@value":"内頸動脈後向きの動脈瘤に体する tramssylvian approach の変法としての anterior temporal approach"},{"@language":"en","@value":"Anterior Temporal Approach for the Treatment of the Posterior Wall Aneurysm of the Internal Carotid Artery"}]},{"@id":"https://cir.nii.ac.jp/crid/1571698601144332416","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Microsurgical pterional approach to the aneurysms of the basilar bifurcation"}]},{"@id":"https://cir.nii.ac.jp/crid/1571698601144336128","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"The treatment of aneurysms of the posterior circulation"}]},{"@id":"https://cir.nii.ac.jp/crid/1572261550548112384","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@value":"Transsylvian approach の拡大変法としての anterior temporal approach-Superficial sylvian vein と側頭葉の間での剥離-"}]},{"@id":"https://cir.nii.ac.jp/crid/1573387451004597888","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Extradural temporopolar approach to lesion of the upper basilar artery and infrachiasmatic resion"}]}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:2002475312"},{"@type":"CROSSREF","@value":"10.7887/jcns.19.733"},{"@type":"CIA","@value":"110007730742"}]}