舌咽神经

Comclusion: transpetrous presigmoid retrolabrinth approach was rational approach for surgery on petroclivus and -4- CPA; it抯 important for accomplish the surgery to study and master the anatomy and variance of this approach; there was relative anatomical relationship among those structure on posterior of petrous bone; AAMP was the extracranial mark of inflexion of TS and SS; LAM and PSC were obvious bone marks for operation; we can confirm the abraded range of petrous bone lean upon LAM and/or GSS beside abrading step by step as literature, and it抯 unnecessary and unrational to emphasize to show PSC if the surgical space was enough; preceding sigmoid sinus and high jugular bulb often appeared at right and would bring disadvantage effect; interspace ,between CN V and CNVII or CNVII and CNJXI, were available to reach clivus and manage the mass on the range.

经SS前迷路后入路是处理岩斜坡区、桥小脑角区病变理想的手术入路；研究和熟悉手术入路中的解剖结构及部分变异对指导手术十分必要；岩骨内测面的骨性结构之间有着相对稳定的空间关系；顶乳缝前角是SS和TS转接处在颅外的标志；IAM和PSC等结构可以作为手术中的重要骨性标志；以PSC确定岩骨的磨除范围是较安全和可靠的，但亦可以结合影像检查，以内耳道和乙状窦前缘为基点判定切除范围，如果操作空间足够，过分强调磨出半规管是不适当的；右侧GSS的宽度和深度较对侧大，SS前置和颈静脉球高位较对侧多见，这些都对右侧入路有不利的影响，但仍可以进行手术操作；三叉神经和面神经间隙及面l 神经和舌咽神经间隙方便到达斜坡并处理病变。l

Genetic factors,obesity, high salt consumption, and alcohol may be involved in the pathogenesis of essential hypertension. Jannetta et al. suggested that essential hypertension might be associated with vascular compression of the left rostral ventrolateral medulla and the root entry zone of cranial nerves Ⅸ and Ⅹ by ectatic loops of posterior fossa arteries,described as neurogenic hypertension.

原发性高血压的发生可能与遗传、肥胖、高盐饮食、饮酒等综合因素有关。1979年Jannetta等提出由于后颅窝异常血管袢压迫延髓左侧腹外侧、舌咽神经与迷走神经根入脑干区(Root entry zone， REZ)而引起高血压即神经源性高血压的假说以来，不少学者从临床及实验研究证实了Jannetta的假说。

The tetracaine test was negative, but the pain could be relieved by intratympanic injection of 1% tetracaine solution or oral administration of carbamazepine.

以单纯耳痛为表现的原发性舌咽神经痛临床比较少见，鼓室内注射1%丁卡因溶液可缓解疼痛，口服卡马西平有效即可确诊。

Results Cerebellopontine angale region the lower neurovascular complex included glossopharyngeal nerve, vagus nerves, accessory nerve and hypoglossal nerves, and interrelated to posteroinferior cerebellar artery, bulbus medulla, cerebellar peduncle, bulbus fissurae cerebelli and cerebello-napex.

结果 桥小脑角区下血管神经复合体主要包括舌咽神经、迷走神经、副神经及舌下神经和相关的小脑后下动脉及延髓、小脑下脚、延髓小脑沟及小脑枕下部等。

The distance between bony landmarks and foramina in the lateral skull base was determined through measurement of 30 (60 sides) dry adult skulls .

在30例(60侧)国人成人头颅骨标本上，对侧颅底区与舌咽神经相关的有重要临床意义的骨性标志相互间距离进行解剖学测量。

Fulwiler CE, Saper CP. Subnuclear organization of the efferent connections of the parabrachial nucleus in the rat. Brian Res 1984;319:229-259.[2]Herbert H, Moga MM, Saper CB. Connections of the parabrachial nucleus with the nucleus of the solitary tract and the medullary reticular formation in the rat. J Comp Neurol 1990;293:540-580.[3]Slugg RM, Light R.

三叉神经脊束间质核(interstitial nucleus of the spinal trigeminal tract， INV)为位于延髓闩平面附近三叉神经脊束内及其周围的一些核团，由中、小型梭形、圆形或卵圆形细胞组成，经三叉神经的分支和迷走、舌咽神经接受外周内脏和躯体感觉信息[6，7]。

Results1 , The glossopharyngeal nerve exits the skull through the jugular foramen posteromedial to the styloid process and the styloid muscle with Vagus Nerve and Accessory Nerves.

结果1、通过对尸头进行解剖发现舌咽神经在颅底茎突和茎突诸肌的中后部与迷走神经、副神经一起自颈静脉孔出颅。

Methods Retrosigmoid sinus approach was adopted to find the cerebellopontine angle. The area surrounding the jugular foramen was explored carefully under microscope and the glossopharyngeal nerve was cut off. The superior branch of vagus nerve should be cut off simultaneously in patients with earache and the space-occupying focus should be cut off to receive pathological examination.

采用经乙状窦后入路进入小脑脑桥角，在手术显微镜下对颈静脉孔周围进行探查并切断舌咽神经根；伴有耳痛者同期切断迷走神经上支；如发现占位病灶须切除病灶并行病理检查。

For a big chunk of credit-card losses; the number of filings (and thus charge-off rates) would be rising again, whether

年美国个人破产法的一个改动使得破产登记急速下降，而后引起了信用卡大规模的亏损。

Eph. 4:23 And that you be renewed in the spirit of your mind

弗四23 而在你们心思的灵里得以更新