Abstract
Vascular lesions in the cavernous sinus were radically operated on under normal body temperature in a semi-sitting position which reduced pressure in the sinus. In this series of 17 cases of various kinds of vascular lesions in the cavernous sinus, the approach leads by a fronto-latero-basal craniotomy to the superior and lateral walls of the cavernous sinus. Via an ispilateral approach, the medial triangle in the superior wall was opened for repair of the vascular lesions of the C 3 and C 4 portions of the internal carotid artery, and Parkinson’s triangle in the lateral wall was opened for lesions of the C 5 portion. Via a contralateral approach, the medial side of the medial triangle was opened for clipping of the aneurysm originating from the medial wall of the C 3 portion. Both the ipsilateral and the contralateral approaches to the vascular lesions in the cavernous sinus are presented in this paper.
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References
Debrun G, Lacour P, Caron JP (1977) Balloon arterial catheter techniques in the treatment of arterial intracranial disease. In: Krayenbühl H et al (eds) Advances and technical standards in neurosurgery, vol 4. Springer, Wien New York, pp 131–145
Dolenc VV (1983) Direct microsurgical repair of intracavernous vascular lesions. J Neurosurg 58: 824–831
Hakuba A, Nishimura S, Shirakata S, Tsukamoto M (1982) Surgical approaches to the cavernous sinus; report of 19 cases. Neurol Med Chir (Tokyo) 22: 295–308
Hakuba A (1985) Surgical approaches to the cavernous sinus via the medial triangles: report of an aneurysm at the C 4–C 5 junction of the internal carotid artery. Geka Shinryo 26: 1385–1390
Hakuba A (1986) Surgical approaches to the cavernous sinus: repair of a C-C fistula at the C 5 portion of the internal carotid artery. Neurol Surg (tokyo) 14: 601–607
Harris FS, Rhoton AL (1976) Anatomy of the cavernous sinus. A microsurgical study. J Neurosurg 45: 169–180
Laws ER Jr, Onofrio BM, Pearson BW, Mc Donald TJ, Dirrenberger RA (1979) Successful management of bilateral carotid-cavernous fistulae with a trans-sphenoïdal approach. Neurosurgery 4: 162–167
Matsuoka Y, Hakuba A, Kishi H, Nishimura S (1986) Direct surgical treatment of intracavernous internal carotid artery aneurysms; report of four cases. Surg Neurol 26: 360–364
Mullan S (1979) Treatment of carotid-cavernous fĂstulas by cavernous sinus occlusion. J Neurosurg 50: 131–144
Parkinson D (1965) A surgical approach to the cavernous portion of the carotid artery. Anatomical studies and case report. J Neurosurg 23: 474–483
Parkinson D (1967) Transcavernous repair of carotid cavernous fistula. Case report. J Neurosurg 26: 420–424
Perneczky A, Knosp E, Vorkapic P, Czech TH (1985) Direct surgical approach to infraclinoidal aneurysms. Acta Neurochir (Wien) 76: 36–44
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© 1987 Springer-Verlag/Wien
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Hakuba, A., Matsuoka, Y., Suzuki, T., Komiyama, M., Jin, T.B., Inoue, Y. (1987). Direct approaches to vascular lesions in the cavernous sinus via the medial triangle. In: Dolenc, V.V. (eds) The Cavernous Sinus. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6982-7_23
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DOI: https://doi.org/10.1007/978-3-7091-6982-7_23
Publisher Name: Springer, Vienna
Print ISBN: 978-3-7091-7460-9
Online ISBN: 978-3-7091-6982-7
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