Abstract:
:Post-radiotherapy carotid blowout syndrome (CBS) of the skull base is a rare but often catastrophic complication of head and neck malignancies. The existing literature on the treatment of this condition with flow-diverting devices (FDD) is extremely limited and disappointing. We present a case of impending CBS in a patient previously irradiated for nasopharyngeal cancer that was successfully treated with use of multiple FDDs, adjunctive endonasal packing and delayed reinforcement with pedicled naso-septal flap, yielding an excellent outcome at 14-months follow-up. Notwithstanding the discouraging results in literature, our anecdotal experience suggests that endovascular reconstruction using FDD could be an option with long-term viability in post-radiotherapy CBS involving the skull base when reinforced with a vascularised naso-septal flap.
journal_name
Neurosurg Revjournal_title
Neurosurgical reviewauthors
Anil G,Zhang J,Ong YK,Hui Fdoi
10.1007/s10143-017-0875-3subject
Has Abstractpub_date
2017-10-01 00:00:00pages
685-688issue
4eissn
0344-5607issn
1437-2320pii
10.1007/s10143-017-0875-3journal_volume
40pub_type
杂志文章abstract::Dissecting aneurysms in the anterior cerebral artery (ACA), although rare, can cause ischemic and/or hemorrhagic stroke. Hemorrhagic dissecting aneurysms in the A1 portion of the ACA are often associated with a poor prognosis. We retrospectively investigated three rare cases of hemorrhagic dissecting aneurysms in the ...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
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abstract::In the last decade, operative decompression of cord and cauda, internal fixation with rods, bony fusion and early ambulation, have become more popular in the management of thoracolumbar injuries with neurological deficit. Computer-tomography, CT myelography and peroperative ultrasonography provided direct evidence, th...
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journal_title:Neurosurgical review
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pub_type: 杂志文章
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journal_title:Neurosurgical review
pub_type: 杂志文章,评审
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journal_title:Neurosurgical review
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journal_title:Neurosurgical review
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journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01892908
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journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01741445
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journal_title:Neurosurgical review
pub_type: 临床试验,杂志文章
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journal_title:Neurosurgical review
pub_type: 杂志文章
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journal_title:Neurosurgical review
pub_type: 杂志文章
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journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF00257815
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journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-018-0944-2
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journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF00308614
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pub_type: 杂志文章
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pub_type: 杂志文章
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