Wang Hongyao, Yang Zixiao, You Honghai, Song Jianping
Department of Neurosurgery, The First Affiliated Hospital, Fujian Medical University, Fuzhou, 350004, Fujian, China.
Department of Neurosurgery, Fudan University Huashan Hospital Fujian Campus, Fujian Medical University The First Affiliated Hospital Binhai Campus, National Regional Medical Center, Fuzhou, 350209, Fujian, China.
Acta Neurochir (Wien). 2022 May;164(5):1385-1389. doi: 10.1007/s00701-022-05129-6. Epub 2022 Jan 26.
The surgical resection of the middle third parasagittal meningioma (PSM) is difficult, where the challenge is to systematically protect the eloquent parenchyma and collateral venous drainage.
We report a case of PSM that eroded the skull, wholly occluded the superior sagittal sinus at the middle third segment, underwent radical resection with evaluation and preservation of the collateral venous drainage by preoperative venography, and intraoperative indocyanine green videoangiography (ICGVA) that aimed to avoid postoperative complications.
This case demonstrates the importance of venous preservation strategy and the value of ICGVA in the intraoperative assessment of collateral venous drainage function.
矢状窦旁中1/3脑膜瘤（PSM）的手术切除具有挑战性，难点在于系统地保护功能区脑实质和侧支静脉引流。
我们报告1例侵蚀颅骨、完全闭塞矢状窦中1/3段的PSM病例，通过术前静脉造影和术中吲哚菁绿视频血管造影（ICGVA）评估并保留侧支静脉引流，进而实施根治性切除术，以避免术后并发症。
该病例证明了静脉保留策略的重要性以及ICGVA在术中评估侧支静脉引流功能方面的价值。
