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Similar Publications

Purpose: Carotid cavernous sinus ectasia is a rare cause of abducens nerve palsy.

Observation: We present a case of severe unilateral progressive esotropia resulting from cavernous sinus carotid vascular ectasia in a 67 y/o female. She had progressive esotropia over the years with no neuroimaging despite having regular ophthalmic care.

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A rare case report of complications in craniofacial injuries: Cavernous sinus-carotid fistula.

Medicine (Baltimore)

December 2017

Department of Oral and Maxillofacial Surgery, Dongguan People's Hospital, Dongguan Department of Pediatrics, West China Second Hospital, Sichuan University Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, China.

Rationale: Cavernous sinus-carotid fistula (CCF) is a rare complication of craniofacial injuries in patients receiving oral and maxillofacial surgical care.

Patient Concerns: A retrospective review of 15 patients with CCF records was conducted. In addition, we present a rare case of a 32-year-old Chinese woman with CCF receiving oral and maxillofacial surgical care.

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Microsurgical and Endovascular Treatments for Ruptured Paraclinoid Aneurysms.

J Neurol Surg A Cent Eur Neurosurg

January 2018

Department of Neurosurgery, Fuzhou General Hospital, Fujian Medical University, Fuzhou, China.

Background:  The treatment of paraclinoid aneurysms can be challenging due to their relationship to the cavernous sinus, carotid siphon, and optic nerve. The goal of this retrospective analysis is to compare the efficacy and safety of microsurgical versus endovascular treatments for ruptured paraclinoid aneurysms.

Methods:  Medical records were reviewed to collect information about patient demographics, risk factors, diagnosis (the position and size of aneurysms), Hunt and Hess grade, and surgical method and outcomes, including modified Rankin Scale (mRS) at the time of discharge and 6 months later, complications, and death.

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 An ectopic pituitary adenoma presenting as a clival or sphenoid mass is a rare clinical occurrence that may mislead the clinician and result in unnecessary interventions or potential medicolegal consequences. Here, we present one of the largest multi-institutional case series and review the literature with an emphasis on radiological findings and critical preoperative workup.  Retrospective chart review.

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Article Synopsis
  • The objective of the study is to assess the usefulness of the infraorbital nerve (ION) as a surgical landmark during endoscopic transmaxillary approaches (ETMAs) to the anterolateral skull base, which is a complex anatomical region involving critical nerves and blood vessels.
  • Various endoscopic anatomical dissections were conducted on cadaveric specimens to examine the anatomy and relationships of the ION with relevant neurovascular structures and the maxillary nerve (V2).
  • The findings revealed that the ION can be easily identified and has four distinct segments, each with specific anatomical features that may influence the success of endoscopic surgical procedures in this area.
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