Navigation-assisted transsphenoidal deflation of a detachable balloon in the cavernous sinus after embolization of a direct carotid-cavernous fistula.

Abstract:

:We describe a case of transsphenoidal deflation of a detachable balloon after embolization of a carotid-cavernous fistula (CCF). The patient developed complete third and sixth nerve palsies immediately after detachable balloon embolization of the CCF, which was considered to be caused by cavernous sinus (CS) compression by the over-inflated balloon. We performed direct puncture of the balloon via the transsphenoidal route using a frameless neuronavigation system. Navigation-assisted transsphenoidal approach (TSA) is technically feasible for balloon deflation in cases of severe cranial nerve palsies due to an over-inflated balloon.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Jung JY,Kim SH,Kim DJ,Kim DI

doi

10.1007/s00701-006-1072-2

subject

Has Abstract

pub_date

2007-02-01 00:00:00

pages

207-12; discussion 212

issue

2

eissn

0001-6268

issn

0942-0940

journal_volume

149

pub_type

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