gms | German Medical Science

57. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e. V. (DGNC)
Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

11. bis 14.05.2006, Essen

Neurosurgical options for treatment of cavernous sinus dural AVF

Meeting Abstract

Suche in Medline nach

  • corresponding author M. Ezura - Department of Neuroendovascular Therapy, Tohoku University
  • A. Takahashi - Department of Neuroendovascular Therapy, Tohoku University
  • Y. Matsumoto - Department of Neuroendovascular Therapy, Kohnan Hospital

Deutsche Gesellschaft für Neurochirurgie. Japanische Gesellschaft für Neurochirurgie. 57. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie. Essen, 11.-14.05.2006. Düsseldorf, Köln: German Medical Science; 2006. DocSA.05.04

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/dgnc2006/06dgnc116.shtml

Veröffentlicht: 8. Mai 2006

© 2006 Ezura et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective: Although standard treatment of cavernous sinus dural arteriovenous fistula (AVF) is transvenous coil embolization, neurosurgical approach is occasionally indispensable in certain situation. We review our treatment of cavernous sinus dural AVF and study the role of neurosurgical options for the treatment of cavernous sinus dural AVF.

Methods: We treated 131 cases of cavernous sinus dural AVF in the last 12 years. Transfemoral inferior petrosal sinus (IPS) approach was initially tried in all the cases. The IPS approach was successful in 98 cases. A transfemoral facial vein approach was performed in 3 cases. A neurosurgical approach was performed in the remaining 30 cases. These are the object of this study.

Results: Transfemoral inferior petrosal sinus (IPS) approach was used first in all the cases. The neurosurgical approach followed if the IPS approach failed. A direct superior orbital vein approach was performed in 27 cases, and adirect Sylvian vein approach was used in 3 cases. A direct Sylvian approach was performed using a small craniotomy under general anesthesia. The cavernous sinus dural AVF was cured in all 30 cases. Complications were observed in 2 cases. One was an oculomotor palsy due to over-packing and one was posterior cerebral artery occlusion due to a diagnostic angiogram.

Conclusions: A neurosurgical approach is occasionally indispensable and very useful for the treatment of cavernous sinus dural AVF if the IPS approach is impossible.