Drainage Pathway of the Superior Petrosal Vein Evaluated by CT Venography in Petroclival Meningioma Surgery

被引:14
作者
Kaku, Shougo [1 ]
Miyahara, Kosuke [1 ]
Fujitsu, Kazuhiko [1 ]
Hataoka, Shunsuke [1 ]
Tanino, Shin [1 ]
Okada, Tomu [1 ]
Ichikawa, Teruo [1 ]
Abe, Toshiaki [2 ]
机构
[1] Natl Hosp Org, Yokohama Med Ctr, Dept Neurosurg, Yokohama, Kanagawa 2458575, Japan
[2] Jikei Univ, Sch Med, Dept Neurosurg, Tokyo, Japan
关键词
petrosal vein; computed tomography venography; petroclival meningioma; transpetrosal approach; MICROSURGICAL ANATOMY; TRANSTENTORIAL;
D O I
10.1055/s-0032-1321509
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objectives This study aimed to clarify the drainage location of the superior petrosal vein (SPV) in relation to Meckel's cave and the internal acoustic meatus (IAM) and to discuss its significance in petroclival meningioma surgery. Design Prospective clinical study. Setting Hospital-based. Participants Five patients with petroclival meningioma and 50 patients (primarily unruptured supratentorial aneurysm patients, with a few hemifacial spasm patients) with no posterior fossa lesions. Main Outcome Measures On computed tomography venography (CTV), the drainage site was classified into three patterns based on its relationship to Meckel's cave and the IAM: Meckel's cave type, Intermediate type, and Meatal type. Results In all patients, the SPV was patent and emptied into the superior petrosal sinus (SPS). In patients without posterior fossa lesions, 35% had Meckel's cave type, 54% had Intermediate type, and 11% had Meatal type. Of the five patients with petroclival meningioma, three had Intermediate type, and two had Meckel's cave type. Conclusion The SPV is a significant vein that should be preserved to prevent venous complications. Preoperative knowledge of the SPV drainage site is helpful for planning the approach and preserving the SPV in petroclival meningioma surgery.
引用
收藏
页码:316 / 320
页数:5
相关论文
共 13 条
[1]   PETROSAL APPROACH FOR PETROCLIVAL MENINGIOMAS [J].
ALMEFTY, O ;
FOX, JL ;
SMITH, RR .
NEUROSURGERY, 1988, 22 (03) :510-517
[2]  
[Anonymous], 1985, NEUROSURGERY
[3]   Evaluation of petrosal sinus patency with 3-dimensional contrast-enhanced magnetic resonance venography in petroclival meningiomas for surgical strategy [J].
Deda, H ;
Erden, I ;
Yagmurlu, B .
SURGICAL NEUROLOGY, 2005, 64 :67-71
[4]   Combined pre- and retrosigmold approach for petroclival meningiomas with the aid of a rotatable head frame: Peri-auricular three-quarter twist-rotation approach: Technical note [J].
Fujitsu, K ;
Kitsuta, Y ;
Takemoto, Y ;
Matsunaga, S ;
Tateishi, K .
SKULL BASE-AN INTERDISCIPLINARY APPROACH, 2004, 14 (04) :209-215
[5]   MIDDLE FOSSA TRANSPETROSAL-TRANSTENTORIAL APPROACHES FOR PETROCLIVAL MENINGIOMAS - SELECTIVE PYRAMID RESECTION AND RADICALITY [J].
KAWASE, T ;
SHIOBARA, R ;
TOYA, S .
ACTA NEUROCHIRURGICA, 1994, 129 (3-4) :113-120
[6]  
Lawton M T, 1996, Clin Neurosurg, V43, P91
[7]   MICROSURGICAL ANATOMY OF THE SUPERFICIAL VEINS OF THE CEREBRUM [J].
OKA, K ;
RHOTON, AL ;
BARRY, M ;
RODRIGUEZ, R .
NEUROSURGERY, 1985, 17 (05) :711-748
[8]   EXPERIENCE WITH 36 SURGICAL CASES OF PETROCLIVAL MENINGIOMAS [J].
SAMII, M ;
TATAGIBA, M .
ACTA NEUROCHIRURGICA, 1992, 118 (1-2) :27-32
[9]   SURGERY OF PETROCLIVAL MENINGIOMAS - REPORT OF 24 CASES [J].
SAMII, M ;
AMMIRATI, M ;
MAHRAN, A ;
BINI, W ;
SEPEHRNIA, A .
NEUROSURGERY, 1989, 24 (01) :12-17
[10]   Microsurgical anatomy of the superior petrosal venous complex: new classifications and implications for subtemporal transtentorial and retrosigmoid suprameatal approaches [J].
Tanriover, Necmettin ;
Abe, Hiroshi ;
Rhoton, Albert L., Jr. ;
Kawashima, Masatou ;
Sanus, Galip Z. ;
Akar, Ziya .
JOURNAL OF NEUROSURGERY, 2007, 106 (06) :1041-1050