| Clinical and hemodynamic responses to balloon test occlusion of the straight sinus: technical case report. | |
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MedLine Citation:
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PMID: 12182428 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE AND IMPORTANCE: Surgical sacrifice of the straight sinus may be performed during intracranial tumor resection. Sacrifice of the straight sinus is associated with an unpredictable risk of venous infarction. We describe a patient with a falcine meningioma who underwent endovascular balloon test occlusion of the straight sinus before surgical resection. CLINICAL PRESENTATION: A 48-year-old woman presented with symptoms resulting from a 4-cm-diameter meningioma in the left occipital region. Along its inferior margin, the tumor abutted the straight sinus. Cerebral angiography demonstrated occlusion of the posterior one-third of the superior sagittal sinus but patency of the straight sinus. TECHNIQUE: A 4-mm angioplasty balloon was directed into the straight sinus via the right jugular vein. In addition to clinical assessments, the pressure within the proximal straight sinus, upstream from the balloon, was measured before and during inflation. Severe headaches followed balloon inflation, and the pressure in the proximal straight sinus increased 18 mm Hg. With balloon deflation, the clinical and hemodynamic findings immediately returned to normal. On the basis of these findings, the straight sinus was preserved during surgery. CONCLUSION: This technique is straightforward and allows some assessment of the physiological responses and individual tolerance to sinus occlusion before surgery. |
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Authors:
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Emmanuel Houdart; Jean-Pierre Saint-Maurice; Hervé Boissonnet; Philippe Bonnin |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Neurosurgery Volume: 51 ISSN: 0148-396X ISO Abbreviation: Neurosurgery Publication Date: 2002 Jul |
Date Detail:
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Created Date: 2002-08-16 Completed Date: 2003-01-30 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7802914 Medline TA: Neurosurgery Country: United States |
Other Details:
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Languages: eng Pagination: 254-6; discussion 256-7 Citation Subset: IM |
Affiliation:
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Department of Neuroradiology and Therapeutic Angiography, Hĵpital Lariboisière, Paris, France. emmanuel.houdart@lrb.ap-hop-paris.fr |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Balloon Occlusion* Cerebral Angiography Cranial Sinuses / radiography, surgery* Female Hemodynamics / physiology* Humans Meningeal Neoplasms / radiography, surgery* Meningioma / radiography, surgery* Middle Aged Risk Assessment Venous Pressure / physiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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