ABSTRACT
The authors had under the their care 6 patients with sinus pericranii. Sinusography with puncture of the sac of the sinus and administration of a contrast medium was performed in all of them. In 4 patients the sinus pericranii was not connected with the extracranial vessels, in 2 retrograde filling of the intracranial venous sinuses and the veins of the face occurred. All the patients were operated on. The sac of the sinus was totally removed in 5 patients and opened and tamponed with muscles in one pateint. The etiology, differential diagnosis, and surgical management of the disease are discussed.
Subject(s)
Cranial Sinuses , Hemangioma/surgery , Scalp , Adolescent , Adult , Child , Diagnosis, Differential , Female , Hemangioma/diagnostic imaging , Humans , Male , Middle Aged , RadiographyABSTRACT
In an attempt to improve the results of total removal of arteriovenous aneurysms from the brain the authors have been using an operation microscope and microsurgical technique for the recent 5 years. This permitted to leave the minimal number of clips on the main afferent arteries and large drainage veins of the aneurysm, thus decreasing the risk of the development of gross connective tissue capsules around the silver clips, and of the inherent disorders in the brain function. In 20 patients 2 to 8 clips were left in the brain after surgery. Nineteen patients were discharged from the clinic with improvement, or without any changes in their preoperative neurological symptoms. Two patients died. Rare epyleptic fits were observed only in one patient.
