Delavari Nader, Staffenberg David, Riina Howard
Department of Neurosurgery, New York University School of Medicine, New York, New York.
Oper Neurosurg (Hagerstown). 2020 Nov 16;19(6):E606. doi: 10.1093/ons/opaa213.
Ethmoidal dural arteriovenous fistulas are vascular malformations with arterial supply from the anterior ethmoidal artery and ultimate drainage into the sagittal sinus.1-3 They are characterized by a high risk of hemorrhage. Microsurgical disconnection of the fistula represents a safe and robust treatment option. Endovascular treatment requires catheterization of the ophthalmic artery and carries a risk of visual deficits. The supraorbital craniotomy provides an excellent corridor to the anterior skull base and is well suited for the treatment of ethmoidal dural arteriovenous fistulas. The supraorbital craniotomy may be performed through a transpalpebral "eyelid" incision. The transpalpebral incision allows for a well-hidden scar and does not have any associated hair loss, as can be seen with the eyebrow incision. The patient consented to the procedure and being videotaped.
筛窦硬脑膜动静脉瘘是一种血管畸形，由筛前动脉供血，最终引流至矢状窦。1-3 其特点是出血风险高。瘘管的显微手术切断是一种安全有效的治疗选择。血管内治疗需要对眼动脉进行插管，存在导致视力缺损的风险。眶上开颅术为进入前颅底提供了一条极佳的通道，非常适合治疗筛窦硬脑膜动静脉瘘。眶上开颅术可通过经睑“眼睑”切口进行。经睑切口形成的瘢痕隐蔽，且不会像眉部切口那样导致脱发。患者同意进行该手术并被录像。
