Use of preoperative computed tomography-angiography in cranial remodeling: Technical note

Nathan E. Simmons, Giuseppe Lanzino, C. Douglas Phillips, John A. Jane, Kant Y.K. Lin

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

OBJECTIVE/IMPORTANCE: One of the most severe complications of craniosynostosis repair is dural sinus laceration. Massive hemorrhage and air embolism are potentially life-threatening sequelae that can result from such an event. The aberrant anatomy of patients with craniosynostosis only accentuates this risk, because separation of the calvaria from the underlying dura is often performed without direct visualization of the sinuses. METHODS: Three-dimensional computed tomography was combined with computed tomographic angiography in the preoperative assessment of patients with craniofacial abnormalities. RESULTS: A clear understanding of the dural sinus anatomy in relation to the overlying bony landmarks became available to the operating surgeon. Six patients underwent this procedure, with excellent visualization of the bony and sinus anatomy achieved in all cases. CONCLUSION: It is thought, that the benefit of combining these procedures has been significant by allowing the visualization of the dural sinus anatomy and overlying bony landmarks. This procedure conveys minimal concomitant morbidity or expense to the patient, yet offers valuable insight toward operative planning and complication avoidance.

Original languageEnglish (US)
Pages (from-to)970-972
Number of pages3
JournalNeurosurgery
Volume43
Issue number4
DOIs
StatePublished - Oct 1998
Externally publishedYes

Fingerprint

Anatomy
Craniosynostoses
Craniofacial Abnormalities
Air Embolism
Lacerations
Skull
Angiography
Tomography
Hemorrhage
Morbidity
Computed Tomography Angiography

Keywords

  • Computed tomography-angiography
  • Cranial remodeling
  • Craniosynostosis

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Simmons, N. E., Lanzino, G., Phillips, C. D., Jane, J. A., & Lin, K. Y. K. (1998). Use of preoperative computed tomography-angiography in cranial remodeling: Technical note. Neurosurgery, 43(4), 970-972. https://doi.org/10.1097/00006123-199810000-00154

Use of preoperative computed tomography-angiography in cranial remodeling : Technical note. / Simmons, Nathan E.; Lanzino, Giuseppe; Phillips, C. Douglas; Jane, John A.; Lin, Kant Y.K.

In: Neurosurgery, Vol. 43, No. 4, 10.1998, p. 970-972.

Research output: Contribution to journalArticle

Simmons, NE, Lanzino, G, Phillips, CD, Jane, JA & Lin, KYK 1998, 'Use of preoperative computed tomography-angiography in cranial remodeling: Technical note', Neurosurgery, vol. 43, no. 4, pp. 970-972. https://doi.org/10.1097/00006123-199810000-00154
Simmons, Nathan E. ; Lanzino, Giuseppe ; Phillips, C. Douglas ; Jane, John A. ; Lin, Kant Y.K. / Use of preoperative computed tomography-angiography in cranial remodeling : Technical note. In: Neurosurgery. 1998 ; Vol. 43, No. 4. pp. 970-972.
@article{b98f89b4ca3e4e2fb5fcf91e8164a6c3,
title = "Use of preoperative computed tomography-angiography in cranial remodeling: Technical note",
abstract = "OBJECTIVE/IMPORTANCE: One of the most severe complications of craniosynostosis repair is dural sinus laceration. Massive hemorrhage and air embolism are potentially life-threatening sequelae that can result from such an event. The aberrant anatomy of patients with craniosynostosis only accentuates this risk, because separation of the calvaria from the underlying dura is often performed without direct visualization of the sinuses. METHODS: Three-dimensional computed tomography was combined with computed tomographic angiography in the preoperative assessment of patients with craniofacial abnormalities. RESULTS: A clear understanding of the dural sinus anatomy in relation to the overlying bony landmarks became available to the operating surgeon. Six patients underwent this procedure, with excellent visualization of the bony and sinus anatomy achieved in all cases. CONCLUSION: It is thought, that the benefit of combining these procedures has been significant by allowing the visualization of the dural sinus anatomy and overlying bony landmarks. This procedure conveys minimal concomitant morbidity or expense to the patient, yet offers valuable insight toward operative planning and complication avoidance.",
keywords = "Computed tomography-angiography, Cranial remodeling, Craniosynostosis",
author = "Simmons, {Nathan E.} and Giuseppe Lanzino and Phillips, {C. Douglas} and Jane, {John A.} and Lin, {Kant Y.K.}",
year = "1998",
month = "10",
doi = "10.1097/00006123-199810000-00154",
language = "English (US)",
volume = "43",
pages = "970--972",
journal = "Neurosurgery",
issn = "0148-396X",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Use of preoperative computed tomography-angiography in cranial remodeling

T2 - Technical note

AU - Simmons, Nathan E.

AU - Lanzino, Giuseppe

AU - Phillips, C. Douglas

AU - Jane, John A.

AU - Lin, Kant Y.K.

PY - 1998/10

Y1 - 1998/10

N2 - OBJECTIVE/IMPORTANCE: One of the most severe complications of craniosynostosis repair is dural sinus laceration. Massive hemorrhage and air embolism are potentially life-threatening sequelae that can result from such an event. The aberrant anatomy of patients with craniosynostosis only accentuates this risk, because separation of the calvaria from the underlying dura is often performed without direct visualization of the sinuses. METHODS: Three-dimensional computed tomography was combined with computed tomographic angiography in the preoperative assessment of patients with craniofacial abnormalities. RESULTS: A clear understanding of the dural sinus anatomy in relation to the overlying bony landmarks became available to the operating surgeon. Six patients underwent this procedure, with excellent visualization of the bony and sinus anatomy achieved in all cases. CONCLUSION: It is thought, that the benefit of combining these procedures has been significant by allowing the visualization of the dural sinus anatomy and overlying bony landmarks. This procedure conveys minimal concomitant morbidity or expense to the patient, yet offers valuable insight toward operative planning and complication avoidance.

AB - OBJECTIVE/IMPORTANCE: One of the most severe complications of craniosynostosis repair is dural sinus laceration. Massive hemorrhage and air embolism are potentially life-threatening sequelae that can result from such an event. The aberrant anatomy of patients with craniosynostosis only accentuates this risk, because separation of the calvaria from the underlying dura is often performed without direct visualization of the sinuses. METHODS: Three-dimensional computed tomography was combined with computed tomographic angiography in the preoperative assessment of patients with craniofacial abnormalities. RESULTS: A clear understanding of the dural sinus anatomy in relation to the overlying bony landmarks became available to the operating surgeon. Six patients underwent this procedure, with excellent visualization of the bony and sinus anatomy achieved in all cases. CONCLUSION: It is thought, that the benefit of combining these procedures has been significant by allowing the visualization of the dural sinus anatomy and overlying bony landmarks. This procedure conveys minimal concomitant morbidity or expense to the patient, yet offers valuable insight toward operative planning and complication avoidance.

KW - Computed tomography-angiography

KW - Cranial remodeling

KW - Craniosynostosis

UR - http://www.scopus.com/inward/record.url?scp=0031782114&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031782114&partnerID=8YFLogxK

U2 - 10.1097/00006123-199810000-00154

DO - 10.1097/00006123-199810000-00154

M3 - Article

C2 - 9766331

AN - SCOPUS:0031782114

VL - 43

SP - 970

EP - 972

JO - Neurosurgery

JF - Neurosurgery

SN - 0148-396X

IS - 4

ER -