Tavanaiepour Daryoush, Jernigan Sarah, Abolfotoh Mohamad, Al-Mefty Ossama
Department of Neurosurgery, University of Florida College of Medicine, Jacksonville, Florida, United States.
Department of Neurosurgery, University of Miami, Miami, Florida, United States.
J Neurol Surg Rep. 2015 Jul;76(1):e72-4. doi: 10.1055/s-0034-1543977. Epub 2015 Mar 4.
Fibrin glue injection has been used to control intraoperative cavernous sinus (CS) venous bleeding. There have been no reported complications related to this maneuver. We present a case where a patient developed a sensory trigeminal nerve deficit after injection of fibrin glue into the posterior CS during resection of a petrosal meningioma. We believe that this deficit was due to the compression of the trigeminal ganglion similar to balloon compression procedures. Although fibrin glue injection may achieve satisfactory cavernous sinus homeostasis, the volume and rate of injection should be kept in mind to avoid a compressive lesion on traversing cranial nerves and surrounding structures, or retrograde filling of the venous tributaries.
纤维蛋白胶注射已被用于控制术中海绵窦（CS）静脉出血。尚未有与该操作相关的并发症报道。我们报告一例患者，在切除岩骨脑膜瘤时向CS后部注射纤维蛋白胶后出现三叉神经感觉功能缺损。我们认为这种功能缺损是由于三叉神经节受压，类似于球囊压迫手术。尽管纤维蛋白胶注射可能实现令人满意的海绵窦内稳态，但应牢记注射的体积和速度，以避免对穿行的颅神经和周围结构造成压迫性病变，或静脉分支的逆行充盈。
