枕状的

Cut the scalp along the sagittal line and turn it to two sides, take down the calvarium of one side along supraorbital margin, key point, the superior margin of zygomatic arch, external occipital protuberance and sagittal suture.

将头皮沿正中矢状线切开并将其翻向两侧，沿一侧眶上缘、关键点、颧弓上缘和枕外隆突的连线及矢状缝取下一侧颅盖。

The use of Klingler's fiber dissection technique can clearly show the fiber structure of temporal lobe regions:arcuate fascicle,external capsule,claustrum,inferior longitudinal fasciculus,uncinate fasciculus, inferior occipitofrontal fasciculus,optic radiation Anterior Commissuree, et al.

结果1。运用Klingler解剖技术可清晰显示颞叶区域各白质纤维结构：弓状束、外囊、屏状核、下纵束、钩状束、额枕下束、视辐射、前联合等纤维束的解剖结构和位置。2。

Results MRI findings of central neurocytoma are specific in 5 cases. The ganglioglioma was found in the tempora and occipital lobe in 7 cases,in the brainstem in 1 case, cystic-solid tumor was observed in 5 cases with extramural nodule in 3 cases, obviously thickened gyri were revealed in 1 cases and central necrosis in 2 cases.The 3 cases of Lhermitte-Duclos disease include the specific molecular layer imaging features.

结果 5例中枢神经细胞瘤有一定的MRI特征，3例诊断正确。8例神经节细胞胶质瘤中，7例位于或主要位于颞、枕叶，1例位于桥脑和延髓，表现为囊实性者5例，实性部分位于囊外的有3例，呈实性表现为局部脑回增厚者1例，囊变坏死明显者2例。3例小脑发育不良性节细胞瘤有特征性的条纹状或分层状表现。

Results (1) 6 cases of Tuberous Sclerosis. Diffused subependymal nodular calcification lesions were found in all cases on unenhenced CT. 4 patients are 2 pairs of mother/child relationship. Both of the two mothers are found to suffer from renal angiomyolipoma.(2)1 case of neurofibromatosis showed abnormal spinal canal: scoliosis of thoracic and lumbar spine, concave change of vertebral posterior border. Bilateral renal hypogenesis was found in this patient. Diffused hyper-density lesions were found in kidney and fatty accumulation was found in back skin.(3)6 cases of Sturge-Weber syndrome. On unenhenced CT, curving and strip-shaped calcifications were found along the parietal and occipital gyrus.

结果 ①结节性硬化6例，所有病例CT平扫见两侧脑室室管膜下多发小结节状高密度钙化灶，其中4例为两对母子关系，并见两位母亲合并有肾脏错构瘤，；②神经纤维瘤病1例，MRI表现为椎管异常，胸腰段脊柱侧弯，椎体后缘呈明显的切凹改变；伴有双肾发育不良，CT示肾内多个高密度影，背部皮肤多量脂肪堆积，③脑颜面血管瘤综合征6例， CT可见顶枕部沿脑回分布的弯曲的条状高密度钙化，部分延伸致侧脑室内，增强后见病灶内有扭曲的条状和结节状明显强化的血管影；④小脑血管瘤病4例，影像学表现为小脑内大囊、小结节样占位性病变。

Apofix technigue was used to treat 17 cases of fresh odontoid fracture and 1 case of old odontoid fracutre.

采用Apofix椎板钩治疗新鲜齿状突骨折17例，陈旧性骨折1例，均伴有寰枢椎不稳，并有不同程度的枕颈部疼痛，活动受限。

Leaves spirally arranged, spreading radially, or directed forward on upper side of branchlets and spreading on lower side, each inserted on a petiolelike pulvinus, linear, straight or curved, quadrangular, broadly rhombic, or flattened in cross section, stomatal lines adaxial or on each surface, vascular bundle 1, resin canals 2, sometimes small and discontinuous. Pollen cones solitary in leaf axils, rarely terminal, ellipsoid or cylindric; pollen 2-saccate.

螺旋状排列，平展的叶光线，或在小枝和平展在下部边的上面边上向前指导，每着生于一叶柄状叶枕，线形，直或弯曲，四棱，宽棱形，或扁平的在横断面上，在叶腋，很少顶生，椭圆形的或圆筒状里的雄球花单生；花粉2囊。

Methods: Use suboccipital sigmoid sinus approach, according to intraoperative detection whether the trigeminal nerve compress by vascular, then taken microvascular decompression.

采用枕下乙状窦后入路，根据术中探查有无明确的血管压迫三叉神经，采取显微血管减压术。

Results: The atlanto-occipital transarticular screw trajectory was cephalad tilting in sagittal plane and medially tilting in coronal plane; the ideal angle of the trajectory was (53.3±3.4)° upper tilting in sagittal plane and (20.0±2.6)° midline tilting in coronary plane.

结果：寰枕关节经关节螺钉固定的钉道理想角度为：螺钉方向在矢状面的上倾角为(53.3±3.4)°，在冠状面的内倾角为(20.0±2.6)°。

We didn\'t find activated points in cerebellum and deeper brain.3.Acupuncture of sham point can significantly activated BA2,6,8,13,21,37,40,44,45,47,putamen and other areas.Both the left and right side of the brain have activated points,but points on the right side are more than those on the left.Both sides of middle temporal gyms,parietal lobule,supramarginal gyms and the lentiform nucleus have obvious activated points.The activated points mainly concentrated in the cerebral cortex,the deep-activated are mainly in the putamen.4. Sham needling in sham point can significantly activate BA6, 8,9,10,18,21,37,40,43,44.The activated points are mainly distributed in the right side of the brain.The left side also has some activated points;5.In the comparasion of Acupunture and sham-needling in S J5,we find that BA8 and cerebellum have distinct regional activated points;6.In the comparasion of acupuncture in SJ5 and sham point,we find BA2 and left cerebellar regions have activated points;7.Sham needling in S J5 compared with sham point,we find BA7,8,9,18 and other areas have activated points,the main activated points are at the left brain.It is not difficult to find that the distribution of activated points are mainly in the middle brain,no obvious activated points at the temporal lobe.

结果：通过对数据的处理和分析，我们初步发现：1、外关穴真针刺能显著激活Brodmann area45、37、44、40、22、13、37、47区、海马、杏仁核、黑质等区域，小脑左侧更明显，左侧颞叶皮层激活点多于右侧，且脑部左侧深层激活点多于右侧；2、外关穴假针刺能显著激活BA46、44、41、13、40、37、19区等区域，激活点主要集中表现在大脑皮层，以颞叶为主，小脑及深部未发现明显激活点；3、非穴真针刺组结果分析初步表明，BA2、6、8、13、21、37、40、44、45、47区以及壳核等区域有激活点，大脑左、右侧均有激活点，但右侧更多，双侧颞中回、顶叶下小叶、缘上回及豆状核有明显激活点，激活点主要集中在大脑皮层，深部激活点主要在壳核；4、非穴假针刺能显著激活BA6、8、9、10、18、21、37、40、43、44区等区域有激活点，主要分布在大脑的右侧，左侧也有不少激活点，就其具体分布主要在颞叶和额叶，少部分分布在顶叶和枕叶；5、外关穴真针刺与假针刺对比发现，BA8区和小脑等区域有明显的激活点；6、外关穴真针刺与非穴真针刺对比发现BA2区、左侧小脑等区域有激活点；7、外关穴假针刺与非穴假针刺对比发现，BA7、8、9、18等区有激活点，主要反应点在左侧大脑的枕叶中回、楔叶，顶叶楔前叶及额上回、中回，就其分布不难看出主要在大脑中部，颞叶未见明显激活点。

T1-weighted coronal sections show gadolinium enhancement along cortical gyri and sulci in the occipital paracentral cortex.

冠位增强T1像于枕叶旁中央灰质处见沿皮层脑回、脑沟的强化病灶；左侧枕叶距状裂皮层也见轻度强化病灶（最后1张图片）。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。