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титаренко александра ивановна - One of the best experts on this subject based on the ideXlab platform.
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superior orbital fissure syndrome caused by an internal carotid artery aneurysm in the Cavernous Sinus
Ophthalmology, 2016Co-Authors: Yuriy Sergeyevich Astakhov, астахов юрий сергеевич, Olga A Marchenko, марченко ольга анатольевна, Vitaly V Potemkin, потёмкин виталий витальевич, Aleksandra I Titarenko, титаренко александра ивановнаAbstract:This article describes a case of superior orbital fissure syndrome caused by an internal carotid artery aneurysm in the Cavernous Sinus. Etiology, clinical presentations, and diagnostic methods are discussed. Possible regression of signs and symptoms after timely endovascular treatment of an internal carotid artery aneurysm in the Cavernous Sinus is reported.
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superior orbital fissure syndrome caused by an internal carotid artery aneurysm in the Cavernous Sinus
Ophthalmology, 2016Co-Authors: Yuriy Sergeyevich Astakhov, астахов юрий сергеевич, Olga A Marchenko, марченко ольга анатольевна, Vitaly V Potemkin, потёмкин виталий витальевич, Aleksandra I Titarenko, титаренко александра ивановнаAbstract:This article describes a case of superior orbital fissure syndrome caused by an internal carotid artery aneurysm in the Cavernous Sinus. Etiology, clinical presentations, and diagnostic methods are discussed. Possible regression of signs and symptoms after timely endovascular treatment of an internal carotid artery aneurysm in the Cavernous Sinus is reported.
Yuriy Sergeyevich Astakhov - One of the best experts on this subject based on the ideXlab platform.
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superior orbital fissure syndrome caused by an internal carotid artery aneurysm in the Cavernous Sinus
Ophthalmology, 2016Co-Authors: Yuriy Sergeyevich Astakhov, астахов юрий сергеевич, Olga A Marchenko, марченко ольга анатольевна, Vitaly V Potemkin, потёмкин виталий витальевич, Aleksandra I Titarenko, титаренко александра ивановнаAbstract:This article describes a case of superior orbital fissure syndrome caused by an internal carotid artery aneurysm in the Cavernous Sinus. Etiology, clinical presentations, and diagnostic methods are discussed. Possible regression of signs and symptoms after timely endovascular treatment of an internal carotid artery aneurysm in the Cavernous Sinus is reported.
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superior orbital fissure syndrome caused by an internal carotid artery aneurysm in the Cavernous Sinus
Ophthalmology, 2016Co-Authors: Yuriy Sergeyevich Astakhov, астахов юрий сергеевич, Olga A Marchenko, марченко ольга анатольевна, Vitaly V Potemkin, потёмкин виталий витальевич, Aleksandra I Titarenko, титаренко александра ивановнаAbstract:This article describes a case of superior orbital fissure syndrome caused by an internal carotid artery aneurysm in the Cavernous Sinus. Etiology, clinical presentations, and diagnostic methods are discussed. Possible regression of signs and symptoms after timely endovascular treatment of an internal carotid artery aneurysm in the Cavernous Sinus is reported.
Harry J Cloft - One of the best experts on this subject based on the ideXlab platform.
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Transorbital Puncture for the Treatment of Cavernous Sinus Dural Arteriovenous Fistulas
2015Co-Authors: J B White, Mary E Jensen, David F Kallmes, Jacques E Dion, Harry J CloftAbstract:SUMMARY: This report describes a series of patients for whom dural arteriovenous fistulae (DAVFs) of the Cavernous Sinus were successfully embolized using a percutaneous, transorbital technique to directly cannulate the Cavernous Sinus. A vascular access needle and catheter are percutaneously advanced along the inferolateral aspect of the orbit to access the Cavernous Sinus via the superior orbital fissure. Safe and effective embolization is achieved without the need for a surgical cut-down. Carotid Cavernous fistulas (CCFs) are arteriovenous shuntsthat are fed by the external carotid artery, the internal ca-rotid artery (ICA), or both and drain by way of the Cavernous Sinus and its tributaries. The surgical treatment of Cavernous Sinus dural arteriovenous fistulas (DAVFs) is technically dif-ficult and associated with significant morbidity.1,2 As such, endovascular embolization via a transvenous approach has become a mainstay of treatment.3 Numerous transvenous ap-proaches have been described, with most practitioners prefer-ring a transfemoral access.4 However, when the veins are not traversable from a transfemoral route, many have advocated a surgical exposure of the superior ophthalmic vein followed by direct catheterization of the exposed vein.4 An alternative approach for endovascular treatment is through a direct transorbital puncture of the Cavernous Sinus or indirectly via the inferior ophthalmic vein (IOV). We are aware of only 1 other account in the literature that describes an IOV approach.5 The purpose of this report is to describe the successful embolization of a series of patients with CCFs by using a direct transorbital Cavernous Sinus or IOV puncture to treat fistulas.We have found that that this approach is safe and technically straightforward while providing a useful alterna-tive to other transvenous routes
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transorbital puncture for the treatment of Cavernous Sinus dural arteriovenous fistulas
American Journal of Neuroradiology, 2007Co-Authors: J B White, Kennith F Layton, Avery J Evans, Frank C Tong, Mary E Jensen, David F Kallmes, Jacques E Dion, Harry J CloftAbstract:This report describes a series of patients for whom dural arteriovenous fistulae (DAVFs) of the Cavernous Sinus were successfully embolized using a percutaneous, transorbital technique to directly cannulate the Cavernous Sinus. A vascular access needle and catheter are percutaneously advanced along the inferolateral aspect of the orbit to access the Cavernous Sinus via the superior orbital fissure. Safe and effective embolization is achieved without the need for a surgical cut-down.
Ernesto Pasquini - One of the best experts on this subject based on the ideXlab platform.
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endoscopic endonasal Cavernous Sinus surgery with special reference to pituitary adenomas
Frontiers of Hormone Research, 2006Co-Authors: Giorgio Frank, Ernesto PasquiniAbstract:Cavernous Sinus surgery has always been a surgical challenge because of the high functional importance of this region and the associated high morbidity. The augmented peripheral vision of the endoscope has led to the development of surgical approaches that allow adequate exposure of the Cavernous Sinus, with a reduction in surgical morbidity. Since 1998, 65 patients with pituitary adenomas and intraoperative evidence of Cavernous Sinus invasion were treated with a purely endoscopic approach. Follow-up was of at least 6 (mean 51.2) months. There was no perioperative mortality and extremely low morbidity. Radical tumor removal was obtained in 21/35 cases with nonfunctioning adenomas. Hormonal remission was obtained in 13/30 functioning adenomas. One patient with partial hypopituitarism and 1 patient with persistent diabetes insipidus were seen. Three patients with delayed CSF leaks required endoscopic repair. In 1 patient with hemorrhagic infarction in a residual tumor, reintervention with craniotomy was necessary. We advocate the central role of surgery in the treatment of Cavernous Sinus tumors, since it allows definition of true Cavernous Sinus involvement, histopathological diagnosis and, when cure is not feasible, tumor volume reduction, which might be an important factor in the response to adjuvant therapy.
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endoscopic endonasal approaches to the Cavernous Sinus surgical approaches
Neurosurgery, 2002Co-Authors: Giorgio Frank, Ernesto PasquiniAbstract:OBJECTIVE After completion of an earlier endoscopic transsphenoidal anatomic study, we studied various endoscopic transsphenoidal approaches using cadaveric specimens to develop endoscopic endonasal surgical approaches to the Cavernous Sinus. METHODS Ten Cavernous Sinuses in five artery-injected adult cadaveric heads were studied with 0-, 30-, and 70-degree angled 4-mm rod-lens endoscopes. The extent of the surgical exposure, the skewed endoscopic anatomic view, and the maneuverability of surgical instruments through their relative operating spaces were studied after various endoscopic endonasal approaches via one nostril. RESULTS The paraseptal approach was used between the nasal septum and the middle turbinate and provided exposure at the anteromedial portion of the Cavernous Sinus. The contralateral paraseptal approach rendered a slightly more medial view at the Cavernous Sinus than did the ipsilateral approach. This approach offered limited surgical access to the lateral vertical compartment. The middle turbinectomy approach allowed surgical access to the lateral wall of the Cavernous Sinus, except for the superior orbital fissure and the orbital apex. The middle meatal approach, which was made between the middle turbinate and the lateral nasal wall, revealed the entire lateral vertical compartment of the Cavernous Sinus, including the orbital apex and the superior orbital fissure. However, its lateral tangential surgical trajectory and the absence of dedicated surgical tools limited the surgeon's surgical maneuverability. A combination of the middle turbinectomy and middle meatal approaches increased the operating space. CONCLUSION Various endoscopic endonasal surgical approaches to the Cavernous Sinus were studied using adult cadaveric head specimens.
астахов юрий сергеевич - One of the best experts on this subject based on the ideXlab platform.
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superior orbital fissure syndrome caused by an internal carotid artery aneurysm in the Cavernous Sinus
Ophthalmology, 2016Co-Authors: Yuriy Sergeyevich Astakhov, астахов юрий сергеевич, Olga A Marchenko, марченко ольга анатольевна, Vitaly V Potemkin, потёмкин виталий витальевич, Aleksandra I Titarenko, титаренко александра ивановнаAbstract:This article describes a case of superior orbital fissure syndrome caused by an internal carotid artery aneurysm in the Cavernous Sinus. Etiology, clinical presentations, and diagnostic methods are discussed. Possible regression of signs and symptoms after timely endovascular treatment of an internal carotid artery aneurysm in the Cavernous Sinus is reported.
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superior orbital fissure syndrome caused by an internal carotid artery aneurysm in the Cavernous Sinus
Ophthalmology, 2016Co-Authors: Yuriy Sergeyevich Astakhov, астахов юрий сергеевич, Olga A Marchenko, марченко ольга анатольевна, Vitaly V Potemkin, потёмкин виталий витальевич, Aleksandra I Titarenko, титаренко александра ивановнаAbstract:This article describes a case of superior orbital fissure syndrome caused by an internal carotid artery aneurysm in the Cavernous Sinus. Etiology, clinical presentations, and diagnostic methods are discussed. Possible regression of signs and symptoms after timely endovascular treatment of an internal carotid artery aneurysm in the Cavernous Sinus is reported.