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Route patterns of the collateral venous pathway in patients with tumors invading the superior sagittal sinus: an angiographic study and clinical applications.
Jirawisan, Pawit; Nunta-Aree, Sarun; Sitthinamsuwan, Bunpot; Chankaew, Ekawut.
Afiliación
  • Jirawisan P; Division of Neurosurgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wang Lang Road, Siriraj, Bangkok Noi, Bangkok, 10700, Thailand.
  • Nunta-Aree S; Department of Neurosurgery, Neurological Institute of Thailand, Bangkok, Thailand.
  • Sitthinamsuwan B; Division of Neurosurgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wang Lang Road, Siriraj, Bangkok Noi, Bangkok, 10700, Thailand. sarun.nunta.aree@gmail.com.
  • Chankaew E; Division of Neurosurgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wang Lang Road, Siriraj, Bangkok Noi, Bangkok, 10700, Thailand.
Neurosurg Rev ; 47(1): 415, 2024 Aug 09.
Article en En | MEDLINE | ID: mdl-39120804
ABSTRACT
Chronic occlusion of the superior sagittal sinus (SSS) by tumors in the midsagittal region causes the collateral venous pathway (CVP). Understanding common patterns of CVP is helpful in reducing surgical complications. This study aimed to investigate the CVP found in patients with SSS-invading tumors, and to provide information on the prevention of operative venous complications. From January 2015 to December 2022, this retrospective study collected patients with tumors that invaded the SSS and underwent digital subtraction angiography of intracranial vessels. Data collected included sex, age, tumor pathology, tumor location along the SSS, tumor side, degree of obstruction of the SSS, types and route patterns of the CVP, and the distance between the tumor and the diploic vein (DV). Twenty patients (6 males, 14 females) were recruited. The prevalence of CVP types was 90% for DV, 35% for end-to-end anastomosis of superficial cortical vein, 15% for meningeal vein, and 20% for other types of CVP. The pteriofrontoparietal and occipitoparietal diploic routes were found on the cerebral hemisphere contralateral to the tumor significantly more than in the cerebral hemisphere ipsilateral to the tumor. Of all patients with presence of collateral DV, 61% had a very close (less than 1 cm) distance between the nearest DV and tumor attachment in the SSS. DV in the cerebral hemisphere contralateral to the tumor was the most common type of CVP found in patients with tumor-induced SSS obstruction. Most of the collateral DV was located very close to the SSS tumor attachment. Neurosurgeons should realize these findings when planning a craniotomy.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Encefálicas / Angiografía de Substracción Digital / Circulación Colateral / Seno Sagital Superior Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Neurosurg Rev Año: 2024 Tipo del documento: Article País de afiliación: Tailandia Pais de publicación: Alemania

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Encefálicas / Angiografía de Substracción Digital / Circulación Colateral / Seno Sagital Superior Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Neurosurg Rev Año: 2024 Tipo del documento: Article País de afiliación: Tailandia Pais de publicación: Alemania