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Presigmoid approach preserving the superior petrosal sinus in a pontine cavernous malformation associated to abnormal venous drainage of the brainstem: how I do it.
Butrón-Díaz, Carlos; Romero-López, Cristina; Rivero-Garvia, Mónica; Márquez-Rivas, Javier.
Afiliación
  • Butrón-Díaz C; Department of Pediatric Neurosurgery, Virgen del Rocío University Hospital, Av. Manuel Siurot, 41013, Seville, S/N, Spain. carlosbutron91@gmail.com.
  • Romero-López C; Group of Applied Neuroscience, Biomedicine Institute of Seville, Seville, Spain. carlosbutron91@gmail.com.
  • Rivero-Garvia M; Department of Neurological Surgery, Virgen del Rocío University Hospital, Av. Manuel Siurot S/N, 41013, Seville, Spain. carlosbutron91@gmail.com.
  • Márquez-Rivas J; Department of Pediatric Neurosurgery, Virgen del Rocío University Hospital, Av. Manuel Siurot, 41013, Seville, S/N, Spain.
Acta Neurochir (Wien) ; 165(5): 1233-1240, 2023 05.
Article en En | MEDLINE | ID: mdl-36331611
ABSTRACT

BACKGROUND:

The presigmoid approach classically includes the ligature and section of the superior petrosal sinus to get a wider visibility window to the antero-lateral brainstem surface. In some cases, the separation of this venous structure should not be performed.

METHOD:

We present our experience getting safely to a pontine cavernous malformation through a conventional mastoidectomy presigmoid approach preserving an ingurgitated superior petrosal sinus because the association with an abnormal venous drainage of the brainstem.

CONCLUSIONS:

When sectioning the superior petrosal sinus in classical presigmoid approaches is contraindicated, its preservation could also offer good surgical corridors to get to small-medium anterior and lateral brainstem cavernous malformations.
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Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Tronco Encefálico / Puente Tipo de estudio: Risk_factors_studies Límite: Humans Idioma: En Revista: Acta Neurochir (Wien) Año: 2023 Tipo del documento: Article País de afiliación: España

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Tronco Encefálico / Puente Tipo de estudio: Risk_factors_studies Límite: Humans Idioma: En Revista: Acta Neurochir (Wien) Año: 2023 Tipo del documento: Article País de afiliación: España